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<?rfc private='Fitness Disclosure' ?>

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<front>
<title>Fitness Disclosure (for .org Application)</title>

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<date day="17" month="June" year="2002"/>

<note title="Fitness Disclosure">

<t>
      The following disclosures are hereby made on behalf of the applicant.
</t>
<t>|"D1.| 
Within the past ten years, has any current director, 
        officer, or manager of the applicant (a) been convicted of any felony; 
        (b) been convicted of any misdemeanor related to financial activities; 
        (c) been judged by a court to have committed fraud or breach of fiduciary 
        duty, or (d) been the subject of a judicial determination that is similar 
        or related to any of these?
<list style="empty"><t>|"NO|</t></list></t>
<t>|"D2.| 
Within the past ten years, has the applicant itself 
        (a) been convicted of any felony; (b) been convicted of any misdemeanor 
        related to financial activities; (c) been judged by a court to have committed 
        fraud or breach of fiduciary duty, or (d) been the subject of a judicial 
        determination that is similar or related to any of these?
<list style="empty"><t>|"NO|</t></list></t>
<t>|"D3.| 
Within the past ten years, has any current director, 
        officer, or manager of the applicant been disciplined by any government 
        or by any organization of which he or she was a member for conduct involving 
        dishonesty or misuse of funds of others?
<list style="empty"><t>|"NO|</t></list></t>
<t>|"D4.| 
Within the past ten years has the applicant itself 
        been disciplined by any government or by any organization of which it 
        was a member for conduct involving dishonesty or misuse of funds of others?
<list style="empty"><t>|"NO|</t></list></t>
<t>|"D5.| 
Is any director, officer, or manager of the applicant 
        currently involved in any judicial or regulatory proceeding that could 
        result in a conviction, judgment, determination, or discipline of the 
        type specified in items D1 or D3?
<list style="empty"><t>|"NO|</t></list></t>
<t>|"D6.| 
Is the applicant itself currently involved in any 
        judicial or regulatory proceeding that could result in a conviction, judgment, 
        determination, or discipline of the type specified in 
items D2 or D4?
<list style="empty"><t>|"NO|</t></list></t>
<t>|"D7.| 
Within the past three years, has any current director, 
        officer, or manager of the applicant been adjudged to be bankrupt or insolvent?
<list style="empty"><t>|"NO|</t></list></t>
<t>|"D8.| 
Has the applicant itself ever been adjudged to 
        be bankrupt or insolvent?
<list style="empty"><t>|"NO|</t></list></t>
<t>|"D9.| 
If the response to any of items D1 through D8
is affirmative, please provide complete details
        on separate sheets of paper attached to this disclosure.
</t> 
<t>
      By signing this fitness disclosure, the undersigned certifies that he 
        or she has authority to do so on behalf of the applicant. On his or her 
        own behalf and on behalf of the applicant, the undersigned certifies that 
        all information contained in this fitness disclosure, and all documents 
        attached to this disclosure, is true and accurate to the best of his/her/its 
        knowledge and information. The undersigned and the applicant understand 
        that any material misstatement or misrepresentation will reflect negatively 
        on the application of which this disclosure is a part and may cause cancellation 
        of any delegation of a top-level domain based on that application.
</t>

<figure><artwork>

        /Carl Malamud/
        Signed

        Carl Malamud
        Chairman
        Internet Multicasting Service
        June 16, 2002 
</artwork></figure>
</note>

</front>
<middle>
</middle>

<back>
<section title="Document Formats">
<t>This document is available in the following formats:</t>
<list style="symbols">
<t>[<eref target="fitness-disclosure.html">html</eref>] This document.</t>
<t>[<eref target="fitness-disclosure.htm">htm</eref>] ICANN original form.</t>
<t>[<eref target="fitness-disclosure.xml">xml</eref>]   XML</t>
<t>[<eref target="fitness-disclosure.txt">txt</eref>]   ASCII</t>
<t>[<eref target="fitness-disclosure.nr">nroff</eref>]   NROFF</t>
<t>[<eref target="fitness-disclosure.doc">word</eref>]     Word</t>
<t>[<eref target="fitness-disclosure.pdf">pdf</eref>]     PDF</t>
</list>
</section>
</back>
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