Common use of Business Entity Type Clause in Contracts

Business Entity Type. Check appropriate box and provide additional information: a) Corporation (including PC) Date of Incorporation b) Limited Liability Company (LLC or PLLC) Date Organized c) Limited Liability Partnership Date of Registration d) Limited Partnership Date Established e) General Partnership Date Established County (if formed in NYS) f) Sole Proprietor How many years in business? g) Other Date Established If Other, explain: 1.1 Was the Business Entity formed in New York State? Yes No If “No,” indicate jurisdiction where the Business Entity was formed: United States State Other Country I. BUSINESS CHARACTERISTICS 1.2 Is the Legal Business Entity publicly traded? Yes No If “Yes,” provide the CIK code or Ticker Symbol: 1.3 Is the Business Entity currently registered to do business in New York State? Note: Select “Not Required” if the Business Entity is a Sole Proprietor or General Partnership Yes No Not Required If “No,” explain why the Business Entity is not required to be registered to do business in New York State:

Business Entity Type. Check appropriate box and provide additional information: a) Corporation (including PC) Date of Incorporation b) Limited Liability Company (LLC or PLLC) Date Organized c) Limited Liability Partnership Date of Registration d) Limited Partnership Date Established e) General Partnership Date Established County (if formed in NYS) f) Sole Proprietor How many years in business? g) Other Date Established If Other, explain: 1.1 Was the Business Entity formed in New York State? Yes No If “No,” indicate jurisdiction where the Business Entity was formed: United States State Other Country I. BUSINESS CHARACTERISTICSCountry AC 3292-S (Rev. 9/13) 1.2 Is the Legal Business Entity publicly traded? Yes No If “Yes,” provide the CIK code or Ticker Symbol: 1.3 Is the Business Entity currently registered to do business in New York State? Note: Select “Not Required” if the Business Entity is a Sole Proprietor or General Partnership Yes No Not Required If “No,” explain why the Business Entity is not required to be registered to do business in New York State: