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6.1.C. - Page 63 <br />PART 2: PERSONS WITH AN OWNERSHIP OR CONTROL INTEREST <br />"Person with an ownership or control interest" means a person or corporation that: <br />(a) Owns 5% or more of the Entity <br />(b) Indirectly owns 5% of more of the Entity (for example, a person who owns 10% of a corporation that owns <br />50% of the Entity) <br />(c) Has a combination of direct and indirect ownership interests totaling 5% or more in the Entity <br />(d) Owns an interest of 5% or more in any mortgage, deed of trust, note, or other obligation secured by the <br />Entity if that interest equals at least 5 % of the value of the property or assets of the Entity <br />(e) If the Entity is organized as a corporation, is an officer or director of that corporation <br />(f) If the Entity is organized as a partnership, is a general or limited partner in the Entity. <br />If this Entity has corporate owners, be sure to list the owning corporation below, as well as any individuals whose <br />ownership in the owning corporation would give them an indirect ownership in the Entity of more than 5%. (For <br />example, if the Entity is "Good Hospital" and it's 50% owned by "Great Corporation", list "Great Corporation" in Part 2, <br />and also list any individual or corporation that owns 10% or more of "Great Corporation" because that person would <br />have a 5% or greater indirect ownership of Good Hospital. <br />If you list any corporations below, you must include as applicable: the primary business address; the address of every <br />business location and any P.O. Box addresses. <br />If you need more information about direct and indirect ownership or calculating percentage interests, please see the <br />Code of Federal Regulations site above. <br />You must list ALL direct and indirect owners that meet the 5% test in in (a).(b). (c) or (d) above. <br />You must list ALL corporate officers and directors and all general and limited partners regardless of whether thev <br />meet the 5% test. <br />Attach additional sheets of paper as necessary and note on the sheet that it's a continuation of Part 2. <br />PERSONS WITH AN OWNERSHIP OR CONTROL INTEREST, INCLUDING ALL GENERAL AND LIMITED <br />PARTNERS, AND ALL CORPORATE OFFICERS AND DIRECTORS <br />Name Address SSN/TIN Date of Birth Type of Interest �r <br />(a -f above) <br />Revised 3/9/2015 <br />Page 2 of 5 <br />REV: 01-17-18 RL <br />ATTY/AGR/2018.012/COUNTY OF SAN MATEO <br />