2384-13 License Application - Final.pdf

Name & Title Address, Phone and Email (b) If the entity is a partially owned or a fully-owned subsidiary of another entity, identify the parent company and describe the nature and extent of the affiliate’s approval rights over the activities of the entity submitting this license application. If applicable, set forth and describe the approval process. If the Applicant is a partnership or a joint venture or other such organization, provide the requested information with respect to each member of the partnership, joint venture or other such organization. (c) Provide proof or a verified statement that the Applicant has complied with all applicable affirmative action (or similar) requirements with respect to its business activities.