TLD Application: Registry Operator's Fitness Disclosure 15 August 2000

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Registry Operator's Fitness Disclosure

The following disclosures are hereby made on behalf of the registry operator.

H1. Within the past ten years, has any current director, officer, or manager of the registry operator (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?
[INSTRUCTION: Answer "yes" or "no."]

H2. Within the past ten years, has the registry operator 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?
[INSTRUCTION: Answer "yes" or "no."]

H3. Within the past ten years, has any current director, officer, or manager of the registry operator 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?
[INSTRUCTION: Answer "yes" or "no."]

H4. Within the past ten years has the registry operator 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?
[INSTRUCTION: Answer "yes" or "no."]

H5. Is any director, officer, or manager of the registry operator currently involved in any judicial or regulatory proceeding that could result in a conviction, judgment, determination, or discipline of the type specified in items H1 or H3?
[INSTRUCTION: Answer "yes" or "no."]

H6. Is the registry operator 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 H2 or H4?
[INSTRUCTION: Answer "yes" or "no."]

H7. Within the past three years, has any current director, officer, or manager of the registry operator been adjudged to be bankrupt or insolvent?
[INSTRUCTION: Answer "yes" or "no."]

H8. Has the registry operator itself ever been adjudged to be bankrupt or insolvent?
[INSTRUCTION: Answer "yes" or "no."]

H9. If the response to any of H1 through H8 is affirmative, please provide complete details on separate sheets of paper attached to this disclosure.
[INSTRUCTION: Please attach one or more sheets with complete details.]

By signing this fitness disclosure, the undersigned certifies that he or she has authority to do so on behalf of the registry operator. On his or her own behalf and on behalf of the registry operator, 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 registry operator understand that any material misstatement or misrepresentation will reflect negatively on any application of which this disclosure is a part and may cause cancellation of any delegation of a top-level domain based on such an application.

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Signature

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Name (please print)

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Title

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Name of Registry Operator

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Date