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section four control a identify your firms officers and board of directors if additional space is required attach a separate sheet number one in the space provided state the name title date of appointment ethnicity and gender of each officer 2 in the space provided state the name title date of appointment ethnicity and gender of each individual serving on your firms board 3 do any of the persons listed above perform a management or supervisory function for any other business check yes or no if yes identify who each are the business name their title and their function 4 do any of the persons listed in section a above own or work for any other firm or firms that have a relationship with this firm such as ownership interest shared office space financial investments equipment leases personnel sharing etc please check yes or no if yes identify each who they are the business name their title and their function B duties of owners officers directors managers and key personnel identify your
