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Resolutions - Jersey City

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STOCKHOLDERDISCLOSURE.'CERTIFICATION<br />

Name..'ofBnsiness: bJJtTì~ fØ IU/ ~ hd,~<br />

II Icertitythât theJistbelowcontains thenamesandhomeaddtesses of all stockholdersholdìng<br />

10% .ormoreofthe issued and .outstandingstock.öftleundêtsigned~<br />

OR<br />

'.0 I.,c.erfy.thathoonestockhòlder oWls.10%,ormòre:óHhe isstiedanrLoutstanding stockJ)fthe<br />

undersigned.<br />

;Cbeekthe bl)xthat:represênts thêtyeofbusinessorganization:<br />

Cllamership 'dCorporation<br />

IJLimitedpartership CLimitedLìäbilîty. COiträtion..<br />

.C.sUbcha¡5tet.s.coïpotátiOn<br />

IJsolepmprietorshiP<br />

IJtiïnted.LîabilítyPàtérslûp<br />

Sign and notarize the Jorin,below , :and, lfnec.ssary,completethestockholder list below.<br />

Stockholders!<br />

Name: ., Name!<br />

Hom.e.A....... dQF.... ...e.'..¡.., ...... ...... ... '.'J ........ A.....<br />

7t gt .,.. .p.'.<br />

flA,.J.I f' 0 "la/l)<br />

Name:<br />

HoineAd(less:<br />

Name:<br />

Home Address: Hnïte Adares:<br />

.<br />

Naiez Name:<br />

HomeAddress: HoineAddtess:<br />

..S"~.ri.~ .~. ¡¡....'...~.vo. m...."'................... meil~$~(<br />

(Nola Pubhc). . ,.. .. '.. .. ,...., .<br />

. ..... .,.:EANNASOOlA<br />

My,Ç()1lmissionelCpî~:NØMY PUBLJCOF NEWJER<br />

. MVtd .... . ......... '. .........E.,'<br />

,201/<br />

(Aff¡it)<br />

-Jt,"peJ.e~ .t/<br />

(Pìiiit .nane$¿,title of affant).

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