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<br />CO' Additional licensed currency exchange locations operated by the applicant (use separate sheet if additional space is <br /> needed). <br /> Street Address (P.O. Boxes are not acceptable) <br /> City State Zip Code County <br /> Street Address (P.O. Boxes are not acceptable) <br /> City State Zip Code County <br /> Street Address (P.O. Boxes are not acceptable) <br /> City State Zip Code County <br /> Street Address (P.O. Boxes are not acceptable) <br /> City State Zip Code County <br /> <br />D. Please provide the names and complete business addresses of owners, partners, officers, stockholders (owning <br />10010 or more of the corporate stock), and employees with authority to exercise management or policy control over <br />the company. <br /> <br /> <br />Full Name <br /> <br />Social Security <br />Number <br /> <br />Birth Date <br /> <br />S ~eyV\ <br /> <br />',dPnf rJfJ D <br /> <br />2 <br />