WPC 8B6ᥓțu0-νNɈsqŲ0 V]œ(?y&޸e4ȈhK{"#:8Aa?( {{:kuoՁHvA>´bGa=s1lMz|5XJ-?:c29$7ZTQV+HĹ1#ʙ̊N@? 7xO2\2frP4Kj>MFr%i;vd6w]_k:0cɄ@1%A0_CM̉+]Zxz/GY]$02abdc2oˑfͳI曳aE_:( #!UN % 0(U:E^ w@4 mHP Mopier 320 PCL 60(9 Z6Times New Roman RegularX($,cAZ"Arial Regular) +U,D-U.U/0U1E2T3T4T\) S3|x4U !  _X"8XXXXX"8@  SponsoringOrganization'sFitnessDisclosure#X"8XJ#Ԉ  Thefollowingdisclosuresareherebymadeonbehalfofthesponsoringorganization.G1.Withinthepasttenyears,hasanycurrentdirector,officer,oremployeeofthesponsoringorganization(or,ifthesponsoringorganizationisnotyetformed,anypersonintendedtobeadirector,officer,oremployeeofthesponsoringorganization)(a)beenconvictedofanyfelony;(b)beenconvictedofanymisdemeanorrelatedtofinancialactivities;(c)beenjudgedbyacourttohavecommittedfraudorbreachoffiduciaryduty,or(d)beenthesubjectofajudicialdeterminationthatissimilarorrelatedtoanyofthese?[Answer"yes"or"no."]   ̀G2.Withinthepasttenyears,hasthesponsoringorganizationitself(a)beenconvictedofanyfelony;(b)beenconvictedofanymisdemeanorrelatedtofinancialactivities;(c)beenjudgedbyacourttohavecommittedfraudorbreachoffiduciaryduty,or(d)beenthesubjectofajudicialdeterminationthatissimilarorrelatedtoanyofthese?[Answer"yes"or"no."]  G3.Withinthepasttenyears,hasanycurrentdirector,officer,oremployeeofthesponsoringorganization(or,ifthesponsoringorganizationisnotyetformed,anypersonintendedtobeadirector,officer,oremployeeofthesponsoringorganization)beendisciplinedbyanygovernmentorbyanyorganizationofwhichheorshewasamemberforconductinvolvingdishonestyormisuseoffundsofothers?[INSTRUCTION:Answer"yes"or"no."]̀[Answer"yes"or"no."] 2 G4.Withinthepasttenyearshasthesponsoringorganizationitselfbeendisciplinedbyanygovernmentorbyanyorganizationofwhichitwasamemberforconductinvolvingdishonestyormisuseoffundsofothers?NSTRUCTION:Answer"yes"or"no."]̀[Answer"yes"or"no."] 0&!% G5.Isanydirector,officer,oremployeeofthesponsoringorganization(or,ifthesponsoringorganizationisnotyetformed,anypersonintendedtobeadirector,officer,oremployeeofthesponsoringorganization)currentlyinvolvedinanyjudicialorregulatoryproceedingthatcouldresultinaconviction,judgment,determination,ordisciplineofthetypespecifiedinitemsG1orG3?[INSTRUCTION:Answer"yes"or"no."] b-(- Ї b-(- [Answer"yes"or"no."]  G6.Isthesponsoringorganizationitselfcurrentlyinvolvedinanyjudicialorregulatoryproceedingthatcouldresultinaconviction,judgment,determination,ordisciplineofthetypespecifiedinitemsG2orG4?[INSTRUCTION:Answer"yes"or"no."]̀[Answer"yes"or"no."]  N G7.Withinthepastthreeyears,hasanycurrentdirector,officer,oremployeeofthesponsoringorganization(or,ifthesponsoringorganizationisnotyetformed,anypersonintendedtobeadirector,officer,oremployeeofthesponsoringorganization)beenadjudgedtobebankruptorinsolvent?[INSTRUCTION:Answer"yes"or"no."]̀[Answer"yes"or"no."] 2  G8.Hasthesponsoringorganizationitselfeverbeenadjudgedtobebankruptorinsolvent? [INSTRUCTION:Answer"yes"or"no."]̀  [Answer"yes"or"no."]   G9.IftheresponsetoanyofG1throughG8isaffirmative,pleaseprovidecompletedetailsonseparatesheetsofpaperattachedtothisdisclosure.![INSTRUCTION:!![!#!Answer"yes"or"no."!#!!#Pleaseattachoneormoresheetswithcompletedetails.#!] R !$!!$"Pleaseattachoneormoresheetswithcompletedetails."$]$%%&    Bysigningthisfitnessdisclosure,theundersignedcertifiesthatheorshehasauthoritytodosoonbehalfoftheapplicant(s).Onhisorherownbehalfandonbehalfoftheapplicant(s),theundersignedcertifiesthatallinformationcontainedinthisfitnessdisclosure,andalldocumentsattachedtothisdisclosure,istrueandaccuratetothebestofhis/her/itsknowledgeandinformation.Theundersignedandtheapplicant(s)understandthatanymaterialmisstatementormisrepresentationwillreflectnegativelyonanyapplicationofwhichthisdisclosureisapartandmaycausecancellationofanydelegationofatop-leveldomainbasedonsuchanapplication._______________________________Signature_______________________________Name(pleaseprint)_______________________________Title_______________________________NameofApplicant_______________________________Date..00..1001../XX"8/2@ 2(c)2000TheInternetCorporationforAssignedNamesandNumbers+ R+&+ +,++,3@22 3Allrightsreserved.--4@114UpdatedAugust15,2000/#X"8X#/