Business Opportunity Registration Form - Texas Secretary Of State Page 5
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13Business Opportunity Disclosure Statement
(Use Additional Sheets as Necessary)
Names and Addresses
(required by § 51.153)
Name of Principal Seller (the “seller”):
Each name under which the seller has
transacted, is transacting, or intends to
transact business:
Name of any parent or affiliated
company that will engage in a business
transaction with the purchaser or that
takes responsibility for statements made
by the seller:
Governing Persons
(names, addresses, and titles of the seller's officers, directors, trustees, general partners, general
managers, and principal executives)
Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Owners
(names, addresses, and titles of shareholders owning more than 20 percent of the shares of the seller)
Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Name:
Title:
Address:
Street
City
State
Zip
Business Opportunity Disclosure Statement
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