Resolutions - Jersey City

BUSlNESSRNJITY DISCLOSURE CERTIFICATION
. FOR NON-FAIR AND OPEN CONTRACT
. ReqUied Puuant To NJS.A. 19:44A-20.8.
. CIT OF JERSEY C/1Y.
Part I - Vendor Afrmatin .
The undersigned; beig authoried and knowledgeable of the ciciim~taces. does hereby certify that the c:lIame of
busines mti!Y~ hàs not made aridwi not make any reportble contrbutions puruant to NJ.S.A. 19:44A-l et seq. that, .
puruant to PoL. 2004, c. 19 would bar the awad of thsçontract in ,the
one yea periodprècedig (dae if aWl1d ¡dWkd
far approvalof the (oi1trad l! the gOtniing bofl) to any of the followig named candidate commttee, joint cadidates.
comnttee; or political par commtte representig the elected offcis of the c:name of m/Íty ofe/eaid o.da/¡~ as
. defied ow:suant to N.f,S.A i9:44A~3(DÙa) and (r).
Prierids of Peter Breiinan Electiori Fund. Gaui:han Election Fund.
Friends of Kalimah H.Ahmad
Election Fund óf Radames Velazquez .f. .
Friends of Michael Sottolano
EFO David P.Donnelly J.C. Counêil2010 .
The Election Fund of Steven Fulop. ..
Friends of Viola Richardson for Ward F. .
.
Friend!; of Nidi a R. Lopez
Healy for Mayor 2013
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Part ii - Òwnership Disclosure Certification .' ...... ...
tI 'I c~tifythàt thelist below c~~tas the names and homeaddiesses' ot al owners
issued and outstandig stock of the ì.ndersignéd.
Ch:eek the box that represents the tye of business entity:
holdig 10%~r ~oreofthe.
DPartne~slùp . - . rgCorpoïation DSole Propnetorslup OSubchaptei S Corporation
DLíted P~tnership DLited Líbilty Co~oïation OLiÌDited LiabiltyPartnership
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Name of Stock or Sharåholder . .
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.. Home Address .
A I I i .
II I / / .
/ V IFI- .
I i \ .,
I ;
..c .
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. .. Subscribed and sworn before me ths._ day of
.~2_. .
My Commssion ~pires:
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,
,.
(Affit).
. (prit name & title of affint). (Corporate Seal)
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