271-22 Attachment-SUBMISSION.pdf

TOWNSHIP OF WEST ORANGE ICKHOLDER D: toertify 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, I 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 Uability Partnership __ SubchapterSCorp PLEASE CHECK APPROPRIATE BOXES AND SIGN BELOW Name: Ean OVluvin Home Address: Ce" Old S0heo| ZA Blavstwum » AT 01 bas Stockholders Name: Home Address: Name, Home Address; En livid / iwher Owner or Representative Signature Print Name & Tittef NOTORY PUBLIC Sworn before NIGOLE J. PRIESTNER Commission # 50085320 Notary Public, State of New Jersey My Commission Expires February 22, 2027 Page | 19