Common use of DUNS Number; XXX Registration; Nature of Entity Clause in Contracts

DUNS Number; XXX Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is Xxxxxxx’s correct DUNS number, that is Xxxxxxx’s correct FEIN or Social Security Number, and that Grantee has an active State registration and XXX registration (if federal funds). Grantee is doing business as a (check): Individual Nonresident Alien Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □ D = disregarded entity Estate or Trust □ C = corporation Pharmacy‐Non Corporate □ P = partnership

DUNS Number; XXX Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is XxxxxxxGrantee’s correct DUNS number, that is XxxxxxxGrantee’s correct FEIN or Social Security Number, and that Grantee has an active State registration and XXX registration (if federal funds). Grantee is doing business as a (check): Individual Nonresident Alien Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □ D = disregarded entity Estate or Trust □ C = corporation Pharmacy‐Non Corporate □ P = partnership

DUNS Number; XXX Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is Xxxxxxx’s correct DUNS number, that is Xxxxxxx’s correct FEIN or Social Security Number, and that Grantee has an active State registration and XXX registration (if federal funds). Grantee is doing business as a (check): Individual Nonresident Alien Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □ D = disregarded entity Estate or Trust □ C = corporation Pharmacy‐Non Pharmacy-Non Corporate □ P = partnership

DUNS Number; XXX Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is Xxxxxxx’s correct DUNS number, that is Xxxxxxx’s correct FEIN or Social Security Number, and that Grantee has an active State registration and XXX registration (if federal funds). Grantee is doing business as a (check): Individual Nonresident Alien Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □  D = disregarded entity Estate or Trust □  C = corporation Pharmacy‐Non Pharmacy-Non Corporate □  P = partnership

DUNS Number; XXX Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is Xxxxxxx’s correct DUNS number, that is Xxxxxxx’s correct FEIN or Social Security Number, and that Grantee has an active State registration and XXX registration (if federal funds). Grantee is doing business as a (check): Individual Nonresident Alien Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □ D = disregarded entity Estate or Trust □ C = corporation Pharmacy‐Non Pharmacy-Non Corporate □ P = partnership