ADDITIONAL QUESTIONS AND INFORMATION Sample Clauses

ADDITIONAL QUESTIONS AND INFORMATION. Are you, your spouse, or any other immediate family members, including parents, in-laws, and siblings that are dependents, an officer, director or greater than ten percent (10%) shareholder of the Company? ¨ ¨ Yes No Are you, your spouse, or any other immediate family members, including parents, in-laws, and siblings that are dependents, employed by or associated with the securities industry (for example, investment advisor, sole proprietor, partner, officer, director, branch manager or broker at a broker-dealer firm or municipal securities dealer) or a financial regulatory agency, such as FINRA or the New York Stock Exchange? ¨ ¨ Yes No If Yes, please provide the name and contact information for such firm. Are you a senior military, governmental or political official in a non-US country? ¨ ¨ Yes No If Yes, please provide the name of the country.