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Notice Of Offices Directors Partners Control Persons Managers Memebers Trustees And Employees CACL 280.153 - California

Notice Of Offices Directors Partners Control Persons Managers Memebers Trustees And Employees Form. This is a California form and can be used in Capital Access Law Blue Sky Secretary Of State .
 Fillable pdf Last Modified 12/9/2013
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STATE OF CALIFORNIA ­DEPARTMENT OF BUSINESS OVERSIGHT DBO ­ CACL 280.153 (Rev. 08-13) Fee: $20.00 + DOJ Noncriminal Applicant Fingerprint Fee (Fees should include the Department of Business Oversights' filing fee of [$20.00] and the fee charged by the Department of Justice [Penal Code Section 11105] for processing Noncriminal Applicant Fingerprints.) NOTICE OF OFFICERS, DIRECTORS, PARTNERS, "CONTROL" PERSONS, MANAGERS, MEMBERS, TRUSTEES AND EMPLOYEES OF A CAPITAL ACCESS COMPANY Receipt No.__________________ OFFICIAL USE ONLY LAST NAME Date submitted CII: I.D.# Applicant PLEASE PRINT OR TYPE NAME OF COMPANY: __________________________________________ (Street) FILE NO. _______________ (City) (State) (Zip Code) ADDRESS OF MAIN OFFICE: ___________________________________________________________________ EMPLOYING BRANCH OFFICE: ________________________________________________________________ NAME OF OFFICER, DIRECTOR, PARTNER, "CONTROL" PERSON, MANAGER, MEMBER, TRUSTEE AND EMPLOYEE: ________________________________________________________________________________________________________________________________________________________ (Last) (First) (Middle) POSITION HELD OR TO BE HELD: _____________________________________________________________ HOME ADDRESS: ____________________________________________________________________________ (Street) (City) (State) (Zip Code) DATE OF BIRTH: __________________________ PLACE OF BIRTH: ______________________________ (Month) (Day) (Year) HEIGHT: ______________ WEIGHT: ____________ SEX: __________ COLOR OF EYES: ____________ COLOR OF HAIR: ____________ * This document shall be treated by the Department of Business Oversight as being received in confidence pursuant to paragraph (4) of subdivision (d) of Section 6254 of the Government Code. American LegalNet, Inc. www.FormsWorkFlow.com
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