Corporation Ownership Information {17A-33} | Pdf Fpdf Docx | California

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Corporation Ownership Information {17A-33} | Pdf Fpdf Docx | California

Last updated: 3/25/2026

Corporation Ownership Information {17A-33}

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Description

17A-33 - OWNERSHIP INFORMATION FORM. This form is used by the California State Board of Pharmacy to collect detailed ownership information for entities involved in a pharmacy license application or change of permit. This form must be completed by each non-natural person (such as corporations, LLCs, partnerships, or trusts) within the ownership structure. It requires disclosure of legal entity details, ownership percentages, officers and managers, and any individuals with control or beneficial interest. Applicants must also report disciplinary history and provide supporting documentation, including affidavits and organizational records. The form helps the Board evaluate transparency, compliance, and eligibility for licensure under California pharmacy laws. www.FormsWorkflow.com

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