12-File H-STATEMENT OF OWNER DISCLOSURE.pdf

This is a Statement of Owner Disclosure form for the Stafford Township Cooperative Pricing System contract opportunity in New Jersey for the furnishing and delivery of rock salt. The form is designed to capture ownership information for entities bidding on this procurement, requiring disclosure of individual or business entity names and addresses, along with associated stockholder, partner, or member information and corresponding entity details. The document appears to be a standard disclosure template with multiple rows for reporting ownership structures and includes fields for website URLs containing annual SEC or foreign equivalent filings.

The form contains numerous unchecked boxes indicating various disclosure categories or certification requirements that bidders must complete as part of their submission. This ownership disclosure documentation is a standard requirement in state and local contracting to ensure transparency regarding beneficial ownership, organizational structure, and potential conflicts of interest. Bidders responding to the Stafford Township rock salt supply contract must accurately complete all applicable sections of this form to meet compliance requirements for contract award consideration.