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Notice Of Offices Directors Partners Control Persons Managers Memebers Trustees And Employees Of A Capital Access Co 280.153 - California
| Notice Of Offices Directors Partners Control Persons Managers Memebers Trustees And Employees Of A Capital Access Co Form. This is a California form and can be used in Capital Access Law Blue Sky Secretary Of State . |
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Fee: $20.00 + DOJ Noncriminal Applicant Fingerprint Fee (Fees should include the Department of Corporations' filing fee of [$20.00] and the fee charged by the Department of Justice [Penal Code Section 11105] for processing Noncriminal Applicant Fingerprints.) Receipt No.__________________ STATE OF CALIFORNIA DEPARTMENT OF CORPORATIONS NOTICE OF OFFICERS, DIRECTORS, PARTNERS, "CONTROL" PERSONS, MANAGERS, MEMBERS, TRUSTEES AND EMPLOYEES OF A CAPITAL ACCESS COMPANY* 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 Corporations as being received in confidence pursuant to paragraph (4) of subdivision (d) of Section 6254 of the Government Code. CACL 280.153 2001 © American LegalNet, Inc.
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