Township Council Meeting — Packet

Part IM DISCLOSURE OF 40% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART II Ia hidder 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 annuai 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 filings) 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 the names and addresses of each stockholder, partner of member owning a 10 percent or greater interest in any corresponding corporation, partnership and/or limited liability company (LLC) listed in Part Il 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 NJS.A, 52:25-24.2 has been listed. Attach additional sheets if more space |s needed, Steckholder/Partner/Member and Address Corresponding Entity Listed in Part UI Part IV certification 1, being duly sworn upon my oath, hereby represent that the foregoing information and any ettachments thereto to the best of my knowledge are true and complete. | acknowledge: that | am authorized to execute this certification on behalf of the bidder/proposer; that the Township of West Orange is relying on the information. Page [2 oo —