APPCOR10191

• Permit No: C1980002
• IBM Index Class Name: Application Correspondence
• Doc Name: ATTACHMENT A AML CONTRACTOR OWNERSHIP AND CONTOL INFORMATION PACKAGE
• Media Type: D
• Archive: No

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8. If the sub-contractor's legal structure is other than a sole
proprietorship, provide all the information set forth below
for every officer, general partner, shareholder (10~ or more
voting stock) and director or any other person or entity who
owns or controls the subcontractor. 773.5
Name
Mailing Address
City State _
Phone Title Date
SSN EIN
Name
Mailing Address
City
Phone Title _
SSN
Assumed
Name
Mailing Address
City
Phone Title_
SSN
State
_ Date Position
EIN
State
Date
EIN
Position Assumed
~ of Ownership
~ of Ownership
8 of Ownership
Zip
Position Assumed
$ of Ownership
Name
Mailing Address
City State
Phone Title
SSN
Name
City
Phone
SSN
~ of Ownership
Mailing Address
State Zip
Title Date Position Assumed
EIN
Name
Mailing Address
City State,
Phone Title Date
SSN EIN
Ys of Ownership
Zip _
Position Assumed
Name ~ of Ownership
Mailing Address
City State Zip
Phone Title Date Position Assumed
SSN EIN
Name ~ of Ownership
Mailing Address
City State Zip
Phone Title Date Position Assumed
SSN EIN
Date Position Assumed
EIN