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<br />C. Additional licensed curren,cy 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 /> Full Name Official Percent Residence Social Security Birth Date <br /> Title Ownership Address Number <br />~ EOAtiE FRPrM{jD PR$I/)E/l/f /Ot> tJO ~ ~-OC; ~c:~f!f)j ff(u (. <br />i L.yf./ 'fl. <br /> . <br /> <br />2 <br />