Common use of Principal Officers Clause in Contracts

Principal Officers. Please fill in the required identification information for each officer listed below. If the entity has no such officer or its equivalent, please check "This position does not exist." If the entity is filing a Change Form and the person listed is replacing someone who was previously disclosed, please check "This person replaced..." and fill in the name of the person being replaced so his/her name can be removed from the Doing Business Database, and indicate the date that the change became effective. Chief Executive Officer (CEO) or equivalent officer This position does not exist The highest ranking officer or manager, such as the President, Executive Director, Sole Proprietor or Chairperson of the Board. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former CEO: on date: Chief Financial Officer (CFO) or equivalent officer This position does not exist The highest ranking financial officer, such as the Treasurer, Comptroller, Financial Director or VP for Finance. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former CFO: on date: Chief Operating Officer (COO) or equivalent officer This position does not exist The highest ranking operational officer, such as the Chief Planning Officer, Director of Operations or VP for Operations. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former COO: on date:

Principal Officers. Please fill in the required identification information for each officer listed below. If the entity has no such officer or its equivalent, please check "“This position does not exist." ” If the entity is filing a Change Form and the person listed is replacing someone who was previously disclosed, please check "“This person replaced..." …” and fill in the name of the person being replaced so his/her name can be removed from the Doing Business Database, and indicate the date that the change became effective. Chief Executive Officer (CEO) or equivalent officer This position does not exist The highest ranking officer or manager, such as the President, Executive Director, Sole Proprietor or Chairperson of the Board. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former CEO: on date: Chief Financial Officer (CFO) or equivalent officer This position does not exist The highest ranking financial officer, such as the Treasurer, Comptroller, Financial Director or VP for Finance. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former CFO: on date: Chief Operating Officer (COO) or equivalent officer This position does not exist The highest ranking operational officer, such as the Chief Planning Officer, Director of Operations or VP for Operations. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former COO: on date:

Principal Officers. Please fill in the required identification information for each officer listed below. If the entity has no such officer or its equivalent, please check "“This position does not exist." ” If the entity is filing a Change Form and the person listed is replacing someone who was previously disclosed, please check "“This person replaced..." …” and fill in the name of the person being replaced so his/her name can be removed from the Doing Business Database, and indicate the date that the change became effective. Chief Executive Officer (CEO) or equivalent officer This position does not exist MI: Last: The highest ranking officer or manager, such as the President, Executive Director, Sole Proprietor or Chairperson of the Board. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former CEO: Home Phone #: on date: SAMPLE Chief Financial Officer (CFO) or equivalent officer This position does not exist The highest ranking financial officer, such as the Treasurer, Comptroller, Financial Director or VP for Finance. First Name: MI: Last: Office Title: Employer (if not employed by entity): MI: Last: Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former CFO: Home Phone #: on date: Chief Operating Officer (COO) or equivalent officer This position does not exist The highest ranking operational officer, such as the Chief Planning Officer, Director of Operations or VP for Operations. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former COO: Home Phone #: on date: Doing Business Data Form EIN/TIN:

Principal Officers. Please fill in the required identification information for each officer listed below. If the entity has no such officer or its equivalent, please check "“This position does not exist." ” If the entity is filing a Change Form and the person listed is replacing someone who was previously disclosed, please check "“This person replaced..." …” and fill in the name of the person being replaced so his/her name can be removed from the Doing Business Database, and indicate the date that the change became effective. Chief Executive Officer (CEO) or equivalent officer This position does not exist MI: Last: The highest ranking officer or manager, such as the President, Executive Director, Sole Proprietor or Chairperson of the Board. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former CEO: Home Phone #: on date: SAMPLE Chief Financial Officer (CFO) or equivalent officer This position does not exist The highest ranking financial officer, such as the Treasurer, Comptroller, Financial Director or VP for Finance. First Name: MI: Last: Office Title: Employer (if not employed by entity): MI: Last: Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former CFO: Home Phone #: on date: Chief Operating Officer (COO) or equivalent officer This position does not exist The highest ranking operational officer, such as the Chief Planning Officer, Director of Operations or VP for Operations. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former COO: Home Phone #: on date: