Respond to each of the following Questions. Provide a statement as to the resolution or present status of any such proceedings, if applicable. In the past three years has the Applicant, the parent company, an affiliate or predecessor or partner (contractor/subcontractor business relationship) of the Applicant, or any person identified by the Applicant in this Application, been investigated or convicted of a crime involving fraud, theft, larceny, deceit, violation of consumer protection law, violation of deceptive trade law or similar activity, whether before an administrative body or in a judicial forum, in which the Applicant, an affiliate, a predecessor of either, or a person identified herein has been a defendant or a respondent? No Yes. Provide explanation: Is the Applicant, the parent company, an affiliate, or a predecessor of either, currently delinquent with any state or federal taxing authority? No Yes. Provide explanation: Identify all bankruptcy or liquidation proceedings for the prior three years. If none, state below. “None” Identify all customer complaints filed with a regulatory or prosecutor agency for the prior three years of the date of this application. In none, state below. “None” FALSIFICATION
Respond to each of the following Questions. Provide a statement as to the resolution or present status of any such proceedings, if applicable. In the past three years has the Applicant, the parent company, an affiliate or predecessor or partner (contractor/subcontractor business relationship) of the Applicant, or any person identified by the Applicant in this Application, been investigated or convicted of a crime involving fraud, theft, larceny, deceit, violation of consumer protection law, violation of deceptive trade law or similar activity, whether before an administrative body or in a judicial forum, in which the Applicant, an affiliate, a predecessor of either, or a person identified herein has been a defendant or a respondent? No Yes. Provide explanation: Is the Applicant, the parent company, an affiliate, or a predecessor of either, currently delinquent with any state or federal taxing authority? No Yes. Provide explanation: Identify all bankruptcy or liquidation proceedings for the prior three years. If none, state “None” below. Identify all customer complaints filed with a regulatory or prosecutor agency for the prior three years of the date of this application. In none, state “None” below. FALSIFICATION
CSP_Registry_App.docx