10-File H-STATEMENT OF STOCKHOLDER OWNER.pdf

This document is a Statement of Stockholder Ownership Disclosure form from the New Jersey State statute N.J.S.A. 52:25-24.2, required for bid and proposal submissions to the Township of Stafford. The form mandates that businesses disclose their organizational type and provide detailed information about stockholders, partners, or members who own 10% or more of the organization. Failure to complete the form can result in automatic rejection of the bid or proposal.

The form is divided into four parts: Part I requires selecting the type of business organization (such as Sole Proprietorship, Non-Profit Corporation, For-Profit Corporation, Partnership, etc.); Part II requests listing stockholders owning 10% or more of the stock; Part III requires disclosure of ownership for publicly traded parent entities; and Part IV is a certification section where the authorized representative swears to the accuracy of the information and agrees to notify the Township of Stafford of any changes. The document emphasizes the legal obligation of full disclosure, with potential criminal prosecution for false statements, and is designed to provide transparency in business ownership for municipal contract opportunities.