Township Council Meeting — Packet

STOCKHOLDER DISCLOSURE CERTIFICATION | 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. EASE CHECK TYPE OF BUSINESS ORGANIZATION: ' Partnership Limited Partnership Limited Liability Corp Subchapter $ Corp _ PLEASE CHECK APPROPRIATE BOXES AND SIGN BELOW Name: Home Address: Stockholders Name: Robert W. Bohny i Home Address: Name Richard T. Bohny Home Address: ry Name: Jeffrey M. DeJesus Home Address: Si Robert W. Bohny, President Print Name & Title : hoi Owner or Rephese ntative Signature NQTORY PUBLIC 2022. i ig roxell Notary Public onSaeatens | Ission No, 2338 | My Commission Expires danvany 8, 2026 Page | 21