BUSINESS ORGANIZATION/STRUCTURE. Indicate the organizational structure of your firm. Fill in only one section on this page. Use Attachment A if more space is required. ✔ State of incorporation: California List corporation’s current officers: President: _Xxxxxxx Xxxxxx Vice Pres: _Xxxx XxXxxxxx Secretary: _Xx Xxx Xxxxx Treasurer: ✔ Type of corporation: C Subchapter S Is the corporation authorized to do business in California: ✔ Yes No If Yes, after what date: ✔ Is your firm a publicly traded corporation? Yes No If Yes, how and where is the stock traded? If Yes, list the name, title and address of those who own ten percent (10 %) or more of the corporation’s stocks: ✔ No Do the President, Vice President, Secretary and/or Treasurer of your corporation have a third party interest or other financial interests in a business/enterprise that performs similar work, services or provides similar goods? Yes If Yes, please use Attachment A to disclose. Please list the following: Authorized Issued Outstanding
a. Number of voting shares:
b. Number of nonvoting shares:
c. Number of shareholders:
d. Value per share of common stock: Par $ Book $ Market $ Limited Liability Company Date formed: State of formation: List the name, title and address of members who own ten percent (10%) or more of the company: Partnership Date formed: List names of all firm partners: State of formation: List all firms you have been an owner, partner or officer with during the past five (5) years. Do not include ownership of stock in a publicly traded company: Joint Venture Date formed: List each firm in the joint venture and its percentage of ownership: Note: To be responsive, each member of a Joint Venture or Partnership must complete a separate Contractor Standards form.
BUSINESS ORGANIZATION/STRUCTURE. Indicate the organizational structure of your firm. Fill in only one section on this page. Use Attachment A if more space is required. Corporation Date incorporated: State of incorporation: List corporation’s current officers: President: Vice Pres: Secretary: Treasurer: Type of corporation: C Subchapter S Is the corporation authorized to do business in California: If Yes, after what date: Is your firm a publicly traded corporation? Yes No If Yes, how and where is the stock traded? If Yes, list the name, title and address of those who own ten percent (10 %) or more of the corporation’s stocks: Do the President, Vice President, Secretary and/or Treasurer of your corporation have a third party interest or other financial interests in a business/enterprise that performs similar work, services or provides similar goods? Yes No If Yes, please use Attachment A to disclose. Please list the following: Authorized Issued Outstanding a. Number of voting shares:
BUSINESS ORGANIZATION/STRUCTURE. Indicate the organizational structure of your firm. Fill in only one section on this page. Use Attachment “A” if more space is required. ✔ 7 /1 / 64 Stateof incorporation: CA List corporation’s current officers: Is your firm a publicly traded corporation? Yes No If Yes, name those who own ten percent (10%) or more of the corporation’s stocks: Dateformed: / / State of formation: List names of members who own ten percent (10%) or more of the company: Dateformed: / / State of formation: List names of all firm partners: SoleProprietorship Datestarted: / / List all firms you have been an owner, partner or officer with during the past five (5) years. Do not include ownership of stock in a publicly traded company: Joint Venture Date formed: / / List each firm in the joint venture and its percentage of ownership:
BUSINESS ORGANIZATION/STRUCTURE. Indicate the organizational structure of your firm. Fill in only one section on this page. Use Attachment “A” if more space is required. List corporation’s current officers:
BUSINESS ORGANIZATION/STRUCTURE. Indicate the organizational structure of your firm. Check one only on this page. Use Pledge of Compliance Attachment “A” if more space is required. Corporation Date incorporated: State of incorporation: List corporation’s current officers: President: Vice Pres: Secretary: Treasurer: Is your firm a publicly traded corporation? Yes No If Yes, name those who own five percent (5%) or more of the corporation’s stocks: Limited Liability Company Date formed: State of formation: List names of members who own five percent (5%) or more of the company: Partnership Date formed: State of formation: List names of all firm partners: Sole Proprietorship Date started: / / List all firms you have been an owner, partner or officer with during the past five (5) years. Do not include ownership of stock in a publicly traded company: Joint Venture Date formed: / / List each firm in the joint venture and its percentage of ownership: Note: Each member of a Joint Venture must complete a separate Contractor Standards Pledge of Compliance for a Joint Venture’s submission to be considered responsive.
BUSINESS ORGANIZATION/STRUCTURE. Indicate the organizational structure of your firm. Fill in only one section on this page. Use Attachment “A” if more space is required. X 12/ 18 / 2013 State of incorporation: CA List corporation’s current officers: President: Vice Pres.: Secretary: Treasurer: Xxxx Xxxx -- Xxxx Xxxx -- Is your firm a publicly traded corporation? Yes No If Yes, name those who own ten percent (10%) or more of the corporation’s stocks: Date formed: / / State of formation: List names of members who own ten percent (10%) or more of the company: Date formed: / / State of formation: List names of all firm partners: Sole Proprietorship Date started: / / List all firms you have been an owner, partner or officer with during the past five (5) years. Do not include ownership of stock in a publicly traded company: Joint Venture Date formed: / / List each firm in the joint venture and its percentage of ownership:
BUSINESS ORGANIZATION/STRUCTURE. 1.1 Your firm is a: □ Corporation □ Sole Proprietorship □ Other: □ Limited Liability Company □ General or Limited Partnership
1.2 If your firm is a corporation, answer the following:
1.2.1 Date of incorporation:
1.2.2 State of incorporation:
1.2.3 Corporate ID number:
1.2.4 President’s name:
1.2.5 Vice President’s name:
1.2.6 Secretary’s name:
1.2.7 Treasurer’s name:
1.2.8 Agent for Service of Process:
BUSINESS ORGANIZATION/STRUCTURE. Indicate the organizational structure of your firm. Check one only on this page. Use Pledge of Compliance Attachment “A” if more space is required. Limited Liability Company Date formed: Partnership Date formed:
BUSINESS ORGANIZATION/STRUCTURE. Indicate the organizational structure of your firm. Fill in only one section on this page. Use Attachment “A” if more space is required. State of incorporation: List corporation’s current officers: President: Vice Pres: Secretary: Treasurer: Is your firm a publicly traded corporation? Yes No If Yes, name those who own ten percent (10 %) or more of the corporation’s stocks: State of formation: List names of members who own ten percent (10%) or more of the company: State of formation: List names of all firm partners: Sole Proprietorship Date started: / / List all firms you have been an owner, partner or officer with during the past five (5) years. Do not include ownership of stock in a publicly traded company: Joint Venture Date formed: / / List each firm in the joint venture and its percentage of ownership: Note: To be responsive, each member of a Joint Venture must complete a separate Pledge of Compliance.
BUSINESS ORGANIZATION/STRUCTURE. Indicate the organizational structure of your firm. Fill in only one section on this page. Use Attachment “A” if more space is required. Date incorporated: 04/28/1972 State of incorporation: Pennsylvania List corporation’s current officers: President: Chief Executive Officer: Xxxxx X. Xxxxx Vice Pres.: Chief Financial Officer: Xxx Xxxxx Secretary: Chief Human Resources Officer: Xxxxx Xxxxxxxxxx Chief Operating Officer: Xxxxxxx Xxxxxxx, PE Chief Technology Officer - Xxxxxx X. Xxxxx Chief Communications Officer - Xxxxxx Xxxxxxxx Is your firm a publicly traded corporation? Yes No If Yes, name those who own ten percent (10%) or more of the corporation’s stocks: Date formed: mm/dd/yyyy State of formation: List names of members who own ten percent (10%) or more of the company: Date formed: mm/dd/yyyy State of formation: List names of all firm partners: Sole Proprietorship Date started: mm/dd/yyyy List all firms you have been an owner, partner or officer with during the past five (5) years. Do not include ownership of stock in a publicly traded company: Joint Venture Date formed: mm/dd/yyyy List each firm in the joint venture and its percentage of ownership:
