Resolutions - Jersey City

BUSINSS ENITY DISCLOSUR CERTIFICATION
FOR NON-FAIRAN OPEN CONTCT
. Requ~ Put To NJ.S.A 19:44A-20.8
CIOF JERSEYCIT .
P'a i - Vendor Afation
The undeiged, beig authoried and knowledgeablé" of the cicutaces, do.es hereby cer that the o:name of
bu.l1eu enti.~ ha not mae and wi not ma an .repo.rble contrutions pursuant to N.J.S.A. 19:44A-1 et seq. that,
puit to PL. 2004, c. 19 would bai the awaid of th contrct in the one yeä perod p.recedi (dae of award scheduled
fo approval of the.contr b the govmzÌ1g botl) to any -of the followig naed èadidate commttee joint"cadidates .
. commttee; or political par co!Ittee representig the elected 6ffc:s of the -en~e 0/ enty of elected ojcža/-; as
defied puisuantto N.T.S.A 19:44A-3(p), '(q) and (r). ..
...
Friends of Peter Breiian Electiori Fund Gauirhan Election Fund
Friends ofKaah H. Ahad The Election Fund of Steven Fulop
Electon Fund åf Radames Velazquez Jr. . Friends of Viola Richardson for Ward F
Friends of Michael Sottalano
EFO David P. DonnelyJ.C. Counci12010 . Heal for Mayor 2013
Friends ofNidià R. Lopez
p~ II - Ownershi Disclosur~ Cf:cation ". .
il i cer thåt tle lit below contas the ~es and heme adclesses of al owner holdi 10.0/0- '~r mor~ of the
issued and outstadig stock of the undeii~ed. .' '
Check the box that ii:presents the tye atbusitess entity
.' . /".' _. - .
. DLited Parership r:ted Libilty Co.tora.tion . DLited Libilty.Paiership
.
Name of Stock or Shareholder . . Home Address
. .Dpattneiship .... DCoi:o;ation . o Sole P.ropnetorsbip . DSubcha.pte S Corpo.rtion
f6t)b f-iCirr i 'for¡ fib /ow l)o.+í ed b)tll,'Vrllt- 'vi. d 7r~C¡
. .,
. . -
Par 3 - Signtue and Attestation: :
¡
. .
The .iidersigned.i fuy a-re tht i£ I hae mirepresented in whole or p.art ths a.tion and certication, t ardjO!
Siged . TItle: P f'$' ..
the business entity, wi be ~le. for any¡ pertyyertiedunder law:. . . .
NameofBusiessEntity Bi:M!tTVY\ S-eVIGO .
Prit:Nam Iß'Ob ~VVf!f n. Date. Czlrzlil.
~ v
~201.\ .
Siww~ed and swm before me th :. \ day pf
My Conlsion ~ires: RO~A GOLDENBERG'
NOTA~:..~UBlI~ OF NEW JERS Y
.'
.
,
.
.
..