|
Copy 1. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0016141608
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 2. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0016076010
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 3. |
Name |
|
|
Address |
Street
City/State
,
NEW JERSEY
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0018894634
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 4. |
Name |
|
|
Address |
Street
City/State
,
NEW JERSEY
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0018894659
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 5. |
Name |
|
|
Address |
Street
City/State
,
NEW JERSEY
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0018896415
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 6. |
Name |
|
|
Address |
Street
City/State
,
MARYLAND
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0005814876
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 7. |
Name |
|
|
Address |
Street
City/State
,
NEW HAMPSHIRE
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0005862701
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 8. |
Name |
|
|
Address |
Street
City/State
,
NEW JERSEY
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0017512310
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 9. |
Name |
|
|
Address |
Street
City/State
,
NEW JERSEY
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0018896340
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 10. |
Name |
|
|
Address |
Street
City/State
,
VIRGINIA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0019909340
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 11. |
Name |
|
|
Address |
Street
City/State
,
MARYLAND
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0019322205
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 12. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0019930114
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 13. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
9990064710
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 14. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
9990064728
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 15. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
9990064736
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 16. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
9990064744
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 17. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
9990064751
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 18. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
9990064769
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 19. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
9990064777
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 20. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
9990064785
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 21. |
Name |
|
|
Address |
Street
City/State
,
FLORIDA
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
9990064793
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 22. |
Name |
|
|
Address |
Street
City/State
,
OHIO
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0023183668
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
Copy 23. |
Name |
|
|
Address |
Street
City/State
,
OHIO
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
|
Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
|
Positional Interest (Check all that apply)
|
Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
|
FCC Registration Number |
0023183650
|
|
Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
|
Gender
Male
Female
|
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
|
Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
Citizenship
|
|
Percentage of votes |
% |
|
|
Percentage of equity |
% |
|
|
Percentage of total assets (equity debt plus) |
% |
|
|
(Check/
Uncheck All) |