EX-10 37 - SEC 2026

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Click ‘Get Form’ to open the EX-10 37 - SEC document in the editor.
Begin by entering the Facility Name and AI# at the top of the form. Ensure that these details are accurate as they identify your organization.
In the section for Authorized Signatory, confirm that you are an authorized signatory. This may include a corporate officer or a designated manager responsible for compliance.
List the individuals or positions you wish to designate as Duly Authorized Representatives (DAR). Make sure to complete this section carefully, as it impacts who can act on behalf of your facility.
Certify your submission by typing or printing your name, signing, and providing your title and date. This step is crucial for legal compliance.
Complete the Facility Contact Identification Form by filling in all required fields for new contacts and replacing existing ones if necessary.

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