No Conviction of Sex Offense. No principal of the Lender has been convicted of a sex offense against a minor (as such terms are defined in section 111 of the Sex Offender Registration and Notification Act (42 U.S.C. 16911)). For the purposes of this certification, “principal“ is defined as “if a sole proprietorship, the proprietor; if a partnership, each partner; if a corporation, limited liability company, association or a development company, or any other entity, each director, each of the five most highly compensated executives, officers, or employees of the entity, and each direct or indirect holder of 20% or more of the ownership stock or stock equivalent of the entity”.
No Conviction of Sex Offense. No principal of the Borrower has been convicted of a sex offense against a minor (as such terms are defined in section 111 of the Sex Offender Registration and Notification Act (42
No Conviction of Sex Offense. No principal of the Borrower has been convicted of a sex offense against a minor (as such terms are defined in section 111 of the Sex Offender Registration and Notification Act (42 U.S.C. 16911)). For the purposes of this certification, “principal” is defined as “if a sole proprietorship, the proprietor; if a partnership, each managing partner and each partner who is a natural person and holds a 20% or more ownership interest in the partnership; and if a corporation, limited liability company, association or a development company, each director, each of the five most highly compensated executives or officers of the entity, and each natural person who is a direct or indirect holder of 20% or more of the ownership stock or stock equivalent of the entity”.
No Conviction of Sex Offense. No principal of the Operating Company has been convicted of a sex offense against a minor (as such terms are defined in section 111 of the Sex Offender Registration and Notification Act (42 U.S.C. 16911)). For the purposes of this certification, “principal” is defined as “if a sole proprietorship, the proprietor; if a partnership, each managing partner and each partner who is a natural person and holds a 20% or more ownership interest in the partnership; and if a corporation, limited liability company, association or a development company, each director, each of the five most highly compensated executives or officers of the entity, and each natural person who is a direct or indirect holder of 20% or more of the ownership stock or stock equivalent of the entity. OPERATING COMPANY: ___________________________ (Printed Name of Operating Company) ___________________________ (Signature of Authorized Representative) ___________________________ (Printed Name Authorized Representative) _______________________________ ( Title of Authorized Representative) Date: _______________________ EXHIBIT E MICHIGAN STRATEGIC FUND SMALL BUSINESS CAPITAL ACCESS PROGRAM LOAN CLAIM FORM Each time the Lender desires to file a Claim under this Agreement, the Lender shall return to the MSF a fully finalized and executed form of this Exhibit: Name of Lender: ___________________________________________________ Lender ID #: _______________________________________________________ Name of Borrower/Loan: _____________________________________________ Original Amount of Enrolled Loan: _____________________________________ Outstanding Balance of Loan: _______________________________________ (Immediately prior to charge-off) Claim Details Principal: _____________________ Accrued Interest (up to 90 days): _____________________ Total Amount of Claim: _____________________ The completed Claim Form, along with proof that the above loan has been charged off, should be submitted to: The Small Business Capital Access Program Michigan Strategic Fund 000 X. Xxxxxxxxxx Square Lansing, Michigan 48913 Attention: Loan Manager, Capital Access Program Fax: 517/000-0000 LENDER: ___________________________ (Printed Name of Lender) ___________________________ (Signature of Authorized Representative) ___________________________ (Printed Name Authorized Representative) ___________________________ ( Title of Authorized Representative) Date: _______________________
