4-File H-STATEMENT OF STOCKHOLDER OWNER.pdf

This document is a Statement of Stockholder Ownership Disclosure form for the Township of Stafford, in compliance with New Jersey State Statute N.J.S.A. 52:25-24.2. The form requires businesses submitting bids or proposals to disclose detailed ownership information, with failure to do so resulting in automatic rejection of the bid. The document provides a structured template for businesses to indicate their organizational type (such as Sole Proprietorship, Non-Profit Corporation, For-Profit Corporation, Partnership, Limited Liability Company) and to list stockholders, partners, or members who own 10% or more of the organization.

The form mandates comprehensive transparency about business ownership, requiring disclosure of stockholders in Part II, details about publicly traded parent entities in Part III, and a certification in Part IV where the submitter swears the information is complete and accurate. The certification includes a commitment to notify the Township of Stafford in writing of any changes to the information and acknowledges potential criminal prosecution for false statements. The form is designed to ensure that the Township of Stafford has full visibility into the ownership structure of businesses seeking to contract with the municipality, with the ultimate goal of maintaining accountability and preventing conflicts of interest.