224-22 RFQ-CME.pdf

TOWNSHIP OF WEST ORANGE STOCKHOLDER DISCLOSURE CERTIFICATION I certify that the list below contains the names and home addresses of all stockholders holding 10% or more of the issued and outstanding stock of the undersigned. __X | certify that no one stockholder owns 10% or more of the issued and outstanding stock of the undersigned. PLEASE CHECK TYPE OF BUSINESS ORGANIZATION: Partnership ___Limited Partnership ___Limited Liability Corp Corporation ___Sole Proprietorship ___Limited Liability Partnership _X_ Subchapter S Corp _ PLEASE CHECK APPROPRIATE BOXES AND SIGN BELOW Name: __David J. Samuel Name: Gregory R. Valesi inkl Home Address: 6 Ella Drive Home Address: 99 Winkler Rd. Millstone Twp., NI 08510 Sayreville, NJ) 08872 Stockholders Name: _Jay B. Cornell Home Address: _31 Tyska Avenue Sayreville, NJ 08872 Name. Michael McClelland Home Address: __82 Ida Lane iwi Brick, NJ 08754 4 Gregory R. Valesi, Partner Print Name & Title NOTORY PUBLIC Sworn before me thisday of August15 2022. Page | 18