Supporting Documentation · Mar 26, 2024
99-24 Exhibit to Temporary Extension Agreement.pdf
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Show all pagesArticle 3.01 Article 3.01 STOCKHOLDER DISCLOSURE STOCKHOLDER DISCLOSURE CERTIFICATION CERTIFICATION II certify certify that that the the list list below below contains contains the the names names and and home home addresses addresses of of all all stockholders stockholders holding holding 10% or more of the issued and outstanding stock of the undersigned. 10% or more of the issued and outstanding stock of the undersigned. _________ II certify certify that that no no one one stockholder stockholder owns owns 10% 10% or or more more of of the the issued issued and and outstanding outstanding stock stock of of the the undersigned. __________ undersigned. PLEASE CHECK PLEASE CHECK TYPE TYPE OF OF
the undersigned. __________ undersigned. PLEASE CHECK PLEASE CHECK TYPE TYPE OF OF BUSINESS BUSINESS ORGANIZATION: ORGANIZATION: Partnership _____ Partnership Limited Partnership Limited Partnership _____ Limited Liability Limited Liability Corp. Corp. _____ Corporation _____ Corporation Sole Proprietorship_____ Sole Proprietorship Limited Liability Limited Liability Partnership_____ Partnership Subchapter S Subchapter S Corp. Corp. _____ PLEASE CHECK PLEASE CHECK APPROPRIATE APPROPRIATE BOXES BOXES AND AND SIGN SIGN BELOW BELOW Stockholders Stockholders NAME: ______________________________________________ NAME: HOME ADDRESS: HOME ADDRESS: ____________________________________ ____________________________________ NAME: ______________________________________________ NAME: HOME ADDRESS: HOME ADDRESS: ____________________________________ _______________________________________ NAME: ______________________________________________ NAME: HOME ADDRESS: HOME ADDRESS: _____________________________________ ______________________________________ 34 34
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