Highly Secure Data Entry

Simplifying Highly Secure Stretched Cluster Clouds Designed for SMB's
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Highly Secure Data Entry

PART 1: BUSINESS INTERESTS

1.1 Enter into the box below your ownership interest in any business entity (including businesses not related to the marijuana industry)? If the answer is "NO" enter "No" *

1.2 For each business that you own an interest in, please provide:

1.2.1 The business name:

1.2.2 The assumed name or DBA (if applicable)

1.2.3 Type of business entity *

C-Corp

LLC

Sole Proprietorship

General Partnership

Limited Partnership

S-Corporation

1.2.4 A brief description of the type of business the entity conducts

1.2.5 A brief description of the extent of your involvement with the business

1.2.6.1 A brief description of nature *

Salary

Draw From Capital Accounts

Draw from Profits

1.2.6.2 Frequency *

Weekly

Bi-Weekly

Monthly

Quarterly

Annually

1.2.7 A brief description of any association between this business and the business entity applying for state licensure (if applicable).

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