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Submitter:
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Submission ID:
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Submission Status:
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Ownership ID:
Change ID Not Loaded
Effective Date:
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Reported Date:
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Ownership Change Type:
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Enter Officers for
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If you have more than 10 officers or if you do not have officers but have a board of directors or other governing body, you may upload a list.
The uploaded file must include the full name of each officer or board member, title and any applicable ownership percentage or share.
Officer Entry Mode:
Manual Entry
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Entity of Officer:
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Name of Officer:
Title:
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If Other:
Primary Phone:
Ownership Interest/Number of Shares:
Interest(%)
Shares(#)
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Upload Board of Directors / Governing Body List
Additional documents may be uploaded on the Documents tab.
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The following are all correspondence currently relevant to this submission.