Free STATEMENT OF INDIVIDUAL AGENTS - Texas


File Size: 25.6 kB
Pages: 2
Date: April 12, 2001
File Format: PDF
State: Texas
Category: Secretary of State
Author: Joe User
Word Count: 360 Words, 2,372 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.sos.state.tx.us/statdoc/forms/2504.pdf

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STATEMENT OF INDIVIDUAL AGENTS
An applicant for registration that is a corporation, an association, a partnership, a limited liability company, or other entity that is not an individual or a sole proprietorship shall complete and file the following statement. A fee of $100.00 for each individual listed must be filed with the statement. (Please print or type. Use additional sheets if necessary.)

THE FOLLOWING INDIVIDUALS WILL RECRUIT OR SOLICIT AN ATHLETE TO ENTER INTO AN AGENT CONTRACT, A PROFESSIONAL SPORTS CONTRACT, OR A FINANCIAL SERVICES CONTRACT WITH .
Name of Athlete Agent Entity

NAME

OF INDIVIDUAL

ADDRESS

TELEPHONE NO.

1.

A. List the business(s) or occupation(s) engaged in for the five years immediately preceding the application date:

B. List all formal training, practical experience, and educational background relating to this individual's professional activities as an athlete agent

Has this person ever been convicted of a felony or misdemeanor involving moral turpitude?

2.

A. List the business(s) or occupation(s) engaged in for the five years immediately preceding the application date:

B. List all formal training, practical experience, and educational background relating to this individual's professional activities as an athlete agent

Has this person ever been convicted of a felony or misdemeanor involving moral turpitude?

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NAME OF INDIVIDUAL 3.

ADDRESS

TELEPHONE NO.

A. List the business(s) or occupation(s) engaged in for the five years immediately preceding the application date:

B. List all formal training, practical experience, and educational background relating to this individual's professional activities as an athlete agent

Has this person ever been convicted of a felony or misdemeanor involving moral turpitude?

4.

A. List the business(s) or occupation(s) engaged in for the five years immediately preceding the application date:

B. List all formal training, practical experience, and educational background relating to this individual's professional activities as an athlete agent

Has this person ever been convicted of a felony or misdemeanor involving moral turpitude?

By:

Title

Date

If there are any additions or deletions to this list of individuals, a statement reflecting the changes must be filed with the secretary of state not later than the 30th day after the date the change occurs.

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