COMPANY: V. OWNERSHIP: GROSS ANNUAL INCOME: TIME IN BUSINESS: HOME PHONE NUMBER: OFFICE PHONE III. BANKING RELATIONSHIPS Oil 1:AS1' I IS I (IN! Y YO( HI ',moss A(COIININ) BANK TYPE OF ACCOUNT IF LOAN-SECURED OR UNSECURED ACCOUNT NUMBER AVERAGE BALANCE Palm Bch Nat'l Bank & Trust Comp. Bu