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satisfy the requirements for exemption. the affidavit must contain all of this Information and be completed In full. Florida STATE OF COUNTY OF Broward N. 05/02 *** READ CAREFULLY BEFORE SIGNING ' Before me this day appeared the of named below. wno being duly sworn, states that 1. I have read R
satisfy the requirements for exemption, the affidavit must contain all of this Information and be completed in full. Florida STATE OF COUNTY OF Broward *** READ CAREFULLY BEFORE SIGNING '* Before me this day appeared the affiant named beiovri wno being duly sworn, states that: 1. I have read Rule
FORMATION: Industrial Integrity Solutions, LLC Name of purchaser SSN If purchaser is a corporation or partnership, list officers or partners T.I.N. sr-231 Coor Purchaser's permanent address (Street) (City) Ontario (StatetCountry) CA (ZIP) 91764 Purchaser's daytime telephone number ( 90
2 mentions1 same-page
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satisfy the requirements for exemption, the affidavit must contain all of this information and be completed in full. Florida STATE OF COUNTY OF Broward *** READ CAREFULLY BEFORE SIGNING *** Before me this day appeared the affiant named below, who being duly sworn, states that: 1. I have read Rule
NFORMATION: Industrial Integrity Solutions, LW Name of purchaser SSN If purchaser is a corporation or partnership, list officers or partners T.I.N. Purchaser's permanent address (Street) 2151 E Convention Center Way Ste 222, Ontario CA 91764 (City) (State/Country) (ZIP) Purchaser's
2 mentions1 same-page
Page ?Same page
satisfy the requirements for exemption, the affidavit must contain all of this information and be completed in full. Florida STATE OF COUNTY OF Broward *** READ CAREFULLY BEFORE SIGNING Before me this day appeared the affiant named below, who being duly sworn, states that: 1. I have read Rule 12A-
T THE FOLLOWING INFORMATION: Industrial Integrity Solutions, LLC SSN *** If purchaser is a corporation or partnership, list officers or partners T.I.N. Purchaserssint address (Street) (City) (State/Country) U (ZIP) Purchaser's daytime telephone number (W ) D.O.B. Purchaser's driver's li
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Mutual Connections (19)
Entities connected to both Broward and T.I.N.
United States
LOCATION44 w/ Broward·2 w/ T.I.N.
Marc Rich
PERSON33 w/ Broward·2 w/ T.I.N.
DI
Darren Indyke
PERSON18 w/ Broward·3 w/ T.I.N.
Tallahassee
LOCATION12 w/ Broward·2 w/ T.I.N.
U.S. Virgin Islands
LOCATION10 w/ Broward·2 w/ T.I.N.
LV
Larry Visoski
PERSON7 w/ Broward·3 w/ T.I.N.
Sikorsky
ORGANIZATION6 w/ Broward·4 w/ T.I.N.
Keystone
ORGANIZATION6 w/ Broward·4 w/ T.I.N.
the United States Federal Aviation Administration
ORGANIZATION6 w/ Broward·3 w/ T.I.N.
Notary
ORGANIZATION6 w/ Broward·3 w/ T.I.N.
the Florida Department of Revenue
ORGANIZATION5 w/ Broward·3 w/ T.I.N.
the State of California
LOCATION4 w/ Broward·2 w/ T.I.N.
Keystone Helicopter
ORGANIZATION4 w/ Broward·2 w/ T.I.N.
Tallahass
LOCATION3 w/ Broward·2 w/ T.I.N.
JP
James L. Previti
PERSON3 w/ Broward·2 w/ T.I.N.
Ontario
LOCATION3 w/ Broward·2 w/ T.I.N.
Pre-Purchase Inspection
ORGANIZATION2 w/ Broward·2 w/ T.I.N.
BANYAN AIR SERVICES, INC.
ORGANIZATION2 w/ Broward·2 w/ T.I.N.
HANGAR
ORGANIZATION2 w/ Broward·2 w/ T.I.N.