98-24 Signed agreement Reliable (1).pdf

DocuSign Envelope ID: BCEB35BA-C87B-4AA5-9D74-S5C62ADE376A, STATEMENT OF OWNERSHIP DISCLOSURE N.J.S.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.43) This statement shall be completed, certified to, and included with all bid and proposal submissions. Failure to submit the required information is cause for automatic rejection of the bid or proposal. Name of Organization; Nature's Choice NU LLC Organization Address: 1106 Millstone River Rd, Hillsborough Twp NJ 08844 PartI Check the box that represents the type of business organization: Oo Sole Proprietorship (skip Parts (1 and III, execute certification in Part |V) Oo Non-Profit Corporation (skip Parts li and III, execute certification in Part IV) oO For-Profit Corporation (any type) Bd imitea Liability Company (LLC) oO Partnership Dhimitea Partnership Dimitea Liability Partnership (LLP) Oo Other (be specific): Part O | The list below contains the names and addresses of all stockholders in the corporation who own 10 percent or more of its stock, of any class, or of all individual partners in the partnership who own a-10 percent or greater interest therein, or of all members in the limited liability company who own a 10 percent or greater interest therein, as the case may be. (COMPLETE THE LIST BELOW IN THIS SECTION) OR Oi No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in the partnership owns a 10 percent or greater interest therein, or no member in the limited liability company owns a 10 percent or greater interest therein, as the case may be. (SKIP TO PART IV) (Please attach additional sheets ifmore space is needed): Name of Individual or Business Entity ~~Address | Compost 360 Acquisition, LLC

DocuSign Envelope ID: BCEB35BA-C87B-4AA5-9D74-55C62ADE376A Part III DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PARTI lf a bidder has a direct or indirect parent entity which is publicly traded, and any person holds a 10 percent or greater beneficial interest in the publicly traded parent entity as of the last annual federal Security and Exchange Commission (SEC) or foreign equivalent filing, ownership disclosure can be met by providing links to the website(s) containing the last annual filing(s) with the federal Securities and Exchange Commission (or foreign equivalent) that contain the name and address of each person holding a 10% or greater beneficial interest in the publicly traded parent entity, along with the relevant page numbers of the filing(s) that contain the information on each such person. Attach additional sheets if more space is needed. Website (URL) containing the last annual SEC (or foreign equivalent) filing Page#'s Please list (he names and addresses of each stockholder, partner or member owning a 10 percent or greater interest in any corresponding corporation, partnership and/or limited liability company (LLC) listed in Part || other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every noncorporate stockholder, and individual partner, and member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been listed. Attach additional sheets if more space is needed. Stockholder/Partner/Member and Address Corresponding Entity Listed in Partll Compost 360 Acquisition Parent, LLC 9 Greenway Plaza, Ste 2400, Houston TX 77046 (10% of Compost 360 Acquisition, LLC) reenway Plaza, , Houston Compost 360 Holdings, LLC Houston TX 6 (10% of Compost 360 Acquisition Parent, LLC} 9 Steenway Plaza, Ste 2400, Houston TX 7704 eae Coe e TLS. Le) 9 Greenway Plaza, Ste 2400, Houston TX 77046 See addendum for further detail Part IV Certification |, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best of my knowledge are (rue and complete. | acknowledge: that | am authorized to execute this certification on behalf of the bidder/proposer; that the City is relying on the information contained herein and that | am under a

rue and complete. | acknowledge: that | am authorized to execute this certification on behalf of the bidder/proposer; that the City is relying on the information contained herein and that | am under a continuing obligation from the date of this certification through the completion of any contracts with City to notify the City in writing of any changes to the information contained herein; that ! am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if | do so, | am subject to criminal prosecution under the law and that it will Constitute a material breach of my agreement(s) with the, permitting the City to declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print): [Steven z CaM Title: T Presper | CEO Signature: | — 7 Date:| 3/ Y poav

DocuSign Envelope 1D: BCEB35BA-C87B-4AA5-9D74-55C6ZADE3S76A, Addendum to Statement of Ownership Disclosure Part Ill in Part Il [ Stockholder/Partner/Member and Corresponding Entity Listed Address Sterling Compost 360 Aggregator, L.P. {>10% of Compost 360 Investments, LLC) 9 Greenway Plaza, Suite 2400, Houston TX 77046 Sterling Group Foundation Fund, L.P. (>10% of Sterling Compost 360 Aggregator, L.P.) 9 Greenway Plaza, Suite 2400, Houston 1X 77046 {>10% of Sterling Compost 360 Aggregator, L.P.) Sterling Group Foundation Fund (Executive Fund), .P. 9 Greenway Plaza, Suite 2400, Houston 1K 77046 Compost 360 Blocker Corp (>10% of Sterling Compost 360 Aggregator, L.P.) 3 Greenway Plaza, Suite 2400, Houston 1X 77046 Sterling Group Foundation Fund (Parallel), LP. (>10% of Compost 360 Blocker Corp) 9 Greenway Plaza, Suite 2400, Houston 1X 77046 Allianz Leben Private Equity Fonds 2001 Gmbh {>10% of Sterling Group Foundation Fund (Parallel), LP.) Seidistrasse 24-244 Munich Bavaria 80335 Germany Harel Hamilton Lane Lp (>10% of Sterling Group Foundation Fund (Parallel), L.P.) 110 Washington Street, Suite 1300 Conshohocken, PA 19428 The Jesus Fund 1901 Napa Valley Drive (>10% of Sterling Group Foundation Fund, L.P.) (>10% of Sterling Group Foundation Fund (Parallel), L.?.) Little Rock, AR 72212 Arizona Psprs Trust 3010 E. Camelback Road, Suite 200. Phoenix AZ 85016 New York State Teachers Retirement System (>10% of Sterling Group Foundation Fund, L.P.) 10 Corporate Woods Drive Albany NY 12241 Richard D Kinder (>10% of Sterling Group Foundation Fund, L.P.) 2229 San Felipe, Suite 1700 Houston TX 77019 Ronald M Cameron (>10% of Sterling Group Foundation Fund, L.P.) 1901 Napa Valley Drive Little Rock, AR 72212 State Of Wisconsin Investment Board (>10% of Sterling Group Foundation Fund, L.P.) 121 East Wilson Street Madison WI 53703 Kevin Garland (>10% of Sterling Group Foundation Fund (Executive Fund), L.P.) 11 Glenleigh Dr. Little Rock AR 72227

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM Contractor Instructions Business entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a “fair and open” process (defined at N.J.S.A. 19:44A-20.7) are subject to the provisions of N.J.S.A. 19:44A-20.26. This law provides that 10 days prior to the award of such a contract, the contractor shall disclose contributions to: ® any continuing political committee (a.k.a., political action committee) e any candidate committee of a candidate for, or holder of, an elective office: oof the public entity awarding the contract © of that county in which that public entity is located © of another public entity within that county oor of a legislative district in which that public entity is located or, when the public entity is a county, of any legislative district which includes all or part of the county The disclosure must list reportable contributions to any of the committees that exceed $200 per election cycle that were made during the 12 months prior to award of the contract. See N.J.S.A. 19:44A-8 and 19:44A-16 for more details on reportable contributions. N.J.S.A. 19:44A-20.26 itemizes the parties from whom contributions must be disclosed when a business entity is not a natural person. This includes the following: e individuals with an “interest” ownership or control of more than 10% of the profits or assets of a business entity or 10% of the stock in the case of a business entity that is a corporation for profit e all principals, partners, officers, or directors of the business entity or their spouses e any subsidiaries directly or indirectly controlled by the business entity e IRS Code Section 527 New Jersey based organizations, directly or indirectly controlled by the business entity and filing as continuing political committees, (PACs). When the business entity is a natural person, “a contribution by that person’s spouse or child, residing therewith, shall be deemed to be a contribution by the business entity.” [N.J.S.A. 19:44A-20.26(b)] The contributor must be listed on the disclosure: Any business entity that fails to comply with the disclosure provisions shall be subject to a fine imposed by ELEC in an amount to be determined by the Commission which may be based upon the amount that the business entity failed to report. The enclosed list of agencies is provided to

ct to a fine imposed by ELEC in an amount to be determined by the Commission which may be based upon the amount that the business entity failed to report. The enclosed list of agencies is provided to assist the contractor in identifying those public agencies whose elected official and/or candidate campaign committees are affected by the disclosure requirement. It is the contractor’s responsibility to identify the specific committees to which contributions may have been made and need to be disclosed. The disclosed information may exceed the minimum requirement. The enclosed form, a content-consistent facsimile, or an electronic data file containing the required details (along with a signed cover sheet) may be used as the contractor’s submission and is disclosable to the public under the Open Public Records Act. The contractor must also complete the attached Ownership Disclosure Certification. This will assist the agency in meeting its obligations under the law. NOTE: This section does not apply to Board of Education contracts.

(. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM Required Pursuant To N.J.S.A. 19:44A-20.26 This form or its permitted facsimile must be submitted to the local unit no later than 10 days prior to the award of the contract. Part | - Vendor Information Vendor Name: | Waefurg's Corer Nd. bce Address: | Fuy_ poll Reap suite Ol City: | A alm&el State: Zip: 07733 The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanyingthis fon ‘ ps4 Steven Barn Printed Name Title Pres Deol / <e Part Il — Contribution Disclosure Signature Disclosure requirement: Pursuant to N.ILS.A. 19:44A-20.26 this disclosure must include all reportable political contributions (more than $200 per election cycle) over the 12 months prior to submission to the committees of the government entities listed on the form provided by the local unit. (J Check here if disclosure is provided in electronic form. Contributor Name Recipient Name Date Dollar Amount $ AoOVWiz 7 &