8-File H-STATEMENT OF STOCKHOLDER OWNER.pdf

This document is a Statement of Stockholder Ownership Disclosure form for the Township of Stafford, prepared in accordance with New Jersey State Statute N.J.S.A. 52:25-24.2. The form requires bidders to disclose detailed ownership information as part of a bid or proposal submission, with failure to complete the form potentially resulting in automatic rejection of the bid. The document is structured in four parts: identifying the type of business organization, listing stockholders with 10% or greater ownership, disclosing ownership of publicly traded parent entities, and providing a certification of the information's accuracy.

The form mandates that bidders provide comprehensive details about their business structure, including stockholders, partners, or LLC members who own 10% or more of the organization. If the bidding entity is part of a publicly traded parent company, additional SEC filing information must be included. The certification section emphasizes the legal obligation of the bidder to provide truthful and complete information, with potential criminal prosecution for false statements. The form specifically notes that the Township of Stafford will rely on the disclosed information and that the bidder has a continuing obligation to report any changes throughout the contract period.