1-Affirmation_and_Disclosure_Form_Signed.pdf

This document is an Affirmation and Disclosure Form for FeeCorp Corporation, located at 7995 Allen Road in Canal Winchester, Ohio 43110. The form is related to a contract subject to Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The document specifically addresses compliance with state data handling, service performance, and disclosure requirements, with all proposed services and data to be managed within the United States.

The form indicates that FeeCorp Corporation will perform all contracted services at its primary business location in Canal Winchester, Ohio, with no subcontractors currently identified. The company affirms that no services will be performed in Russia, and it agrees to immediately notify the State of any changes in service location or corporate structure. The document was signed by Mark A. DelMatto, President/CEO, on 05/08/2025, and requires full compliance with executive orders restricting offshore services and purchases from Russian-affiliated entities.