Township Council Meeting — Packet

NT OF OWNERS. DISCLOS NLLS.A. $2:25-24.2 (P.L. 1977, ¢.33, as amended by P.L. 2016, ¢.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 propasal. Name of Organization: _ Shauger Property Services, Inc. Organization Address: 420 Dodd Street, East Orange, NJ 07017 Part I Check the box that represents the type of business organization: O Sole Proprietorship (skip Parts Ii and Ill, execute certification in Part IV) non-profit Corporation (skip Parts If and III, execute certification in Part TV) Blror-protit Corporation (any type) Diimitea Liability Company (LLC) Cl raitnersiip Da initea Partnership Chrimitea Liability Partnership (LLP) a Other (be specific): Part 0 Bs ‘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 thé 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 Oo 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) lease attach additio ts if space is needed): Name of Individual or Business Entity Address Lisa Shauger (1 00%) 10 Meadow Lane, Roseland, NJ 07068 13