646-500-6271 - Fax-2025

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The document is a Physical Culture Principal Questionnaire Form required by the Board of Standards and Appeals in New York City. It must be completed by principals, owners, and operators of proposed physical culture establishments, providing personal and business information, including any prior affiliations with similar establishments, legal issues, and criminal history. The form emphasizes the importance of truthful responses as false statements may lead to disqualification or criminal charges.

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Click ‘Get Form’ to open the 646-500-6271 - Fax in the editor.
Begin by entering your company name in the designated field. If applicable, include any 'Also Known As' (AKA) names.
Fill in the Board of Standards and Appeals Application Number, followed by your principal name and date of birth.
Provide your Social Security Number and home address. If you have another present address, include that as well.
Indicate your position held within the company and the date you started. Answer whether you have an equity or partnership interest in the applying firm.
For each question requiring additional information, utilize separate sheets as needed, clearly indicating which question you are addressing.
Review all entries for accuracy before signing at the bottom of the form. Ensure that all required fields are completed to avoid delays.

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