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Name Years Prior positions, employers<br />

CEO _______________________________ _________ __________________________<br />

President __________________________ _________ __________________________<br />

Finance ____________________________ _________ __________________________<br />

Technical ___________________________ _________ __________________________<br />

In<strong>form</strong>ation _________________________ _________ __________________________<br />

Marketing __________________________ _________ __________________________<br />

Other ___________________________ _________ __________________________<br />

5. Number of Employees: Direct ________________<br />

Indirect ________________<br />

Staff<br />

Total<br />

________________<br />

________________<br />

6. Please describe the reporting structure and the responsibilities of the personal involve.<br />

7. Year established: ______________________<br />

DAFZ- PUR-09 Page 2 of 5

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