Form 3401 - Telephone Solicitation Registration Statement Page 2
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7D. If operating under an assumed business name, the location where the assumed name has been
registered.
8.) Attach a list with the complete street address of each location of the seller, designating the principal
location from which the seller will be conducting business.
9.) If the principal business location is not in this state, designate below the main location in this state.
____________________________________________________________________________________
____________________________________________________________________________________
10.) List below each telephone number to be used by the seller and the address where each telephone is
located.
_____________________________________________________________________________________
_____________________________________________________________________________________
11.) Attach a list containing:
A. The name and title of each of the seller's officers, directors, trustees, general and limited
partners, sole proprietor, and owners, as applicable, and the name of each of those persons who
have management responsibilities in connection with the seller's business activities.
B. The complete address of the principal residence, the date of birth, the number and state of
issuance of the driver's license of each person whose name is disclosed under (A.) above.
12.) Attach a list with the name and principal residence address of each person in charge at each location
from which the seller does business in this state, and the business location at which each of these persons is
or will be in charge.
13.) With respect to #11 & #12 above, and pursuant to Section 302.152, Tex. Bus. & Com. Code, identify
each person:
A. Who has been convicted of or pleaded nolo contendere to a felony or misdemeanor involving an
alleged violation of Chapter 302, Tex. Bus. & Com. Code, or fraud, theft, embezzlement,
fraudulent conversion, or misappropriation of property;
B. Against whom a final judgment or order in a civil or administrative action has been entered,
including a stipulated judgment or order, in which the complaint or petition alleged acts constituting
a violation of Chapter 302, Tex. Bus. & Com. Code, fraud, theft, embezzlement, fraudulent
conversion, or misappropriation of property, the use of untrue or misleading representations in an
attempt to sell or dispose of real or personal property, or the use of unfair, unlawful, or deceptive
business practices;
C. Who is subject to an injunction or restrictive court order relating to business activity as the result
of an action brought by a federal, state, or local public agency, including an action affecting any
vocational license; or
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