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Supplement To Athlete Agent Application Renewal For Financially Interested Party 2506 - Texas
| Supplement To Athlete Agent Application Renewal For Financially Interested Party Form. This is a Texas form and can be used in Athlete Agent Secretary Of State . |
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Form 2506--General Information (Supplement to Athlete Agent Application/Renewal for Financially Interested Party) The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney. Commentary An application for registration must provide information regarding the moral character of parties who are financially interested in the applicant's athlete agent business, including persons with an ownership interest in, or right to receive profits from, the business. This form is required to be submitted with an application or renewal. Instructions for Form A document on file with the secretary of state is a public record subject to public access and disclosure. When providing address or telephone information, use a business or post office box address rather than a residence address if privacy concerns are an issue. Revised 12/11 Form 2506 1 American LegalNet, Inc. www.FormsWorkFlow.com Form #2506 Rev. 12/2011 This space reserved for office use Submit with Renewal (Form 2505) to: SECRETARY OF STATE Registrations Unit P O Box 13550 Austin, TX 78711-3550 512-463-5705 512-475-2815 - Fax Filing Fee: None. SUPPLEMENT TO ATHLETE AGENT APPLICATION/RENEWAL FOR FINANCIALLY INTERESTED PARTY Athlete Agent/Applicant: Complete a separate form for each person identified as a financially interested party on the application or renewal for the above-named applicant. Submit the completed supplements with the application or renewal. 1. Name: 2. Principal Business Address: Street City State Zip Fitness Select the appropriate box to indicate whether the person named above has been subject to any of the following: 3. A finding of guilt for a crime (other than a class C misdemeanor). 4. An administrative or judicial finding that the person made a false, misleading, deceptive, or fraudulent representation. 5. A sanction (including a fine) or suspension related to occupational or professional conduct. 6. A denial of an application for a certificate of registration or license as an athlete agent. 7. A denial, revocation, or suspension of a certificate of registration or license as an athlete agent. 8. Engaged in conduct resulting in the imposition in an athlete or educational institution of a sanction, suspension, or declaration of ineligibility to participate in an interscholastic or intercollegiate athletic event. Yes Yes Yes Yes Yes Yes No No No No No No 9. If you answered "yes" to any of the above, in the space below you must provide a statement of (i) the nature, circumstances, date, and location, and (ii) whether the matter is on appeal. Also attach copies of related documentation, including settlement agreement, court order and sentence, and papers pertaining to release from probation, if applicable. USE AN ADDITIONAL SHEET IF NECESSARY. Form 2506 2 American LegalNet, Inc. www.FormsWorkFlow.com
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