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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />PINEAPPLE <br />PAYMENTS <br />Merchant Processing Application and Agreement <br />Please review the information below and sign if everything looks right. If you have any questions please contact your representative. <br />Setup Information <br />Sales Code <br />ONGLF19 <br />Business Details <br />Contact Information <br />First Name <br />Application Platform <br />North <br />_ Last Name <br />Bela Nagy <br />Email Phone Number <br />bnagy@ircgov.com (772) 770-5000 <br />Business Information l <br />NOTE: Failure to provide accurate information may result in a withholding of merchant funding per IRS regulations. (See Part IV, <br />Section A.4 of your Program Guide for further information.) <br />Business Legal Name <br />Indian River County I <br />DBA Name _ Tax Filing Name <br />Sandridge Golf Club Indian River County <br />Tax Filing Method Tax ID (EIN) <br />j X EIN El SSN <br />Type of Ownership <br />Government <br />1 Non -Profit Org <br />O. Public Corporation <br />Individual / Sole Proprietor <br />Partnership <br />Ell Tax Exempt <br />OLimited Liability Company <br />tom' Private Corporation <br />Stock Exchange (Only applicable for Public Corporations) Stock Ticker Symbol (NYSE or NASDAQ) <br />�1 NYSE or NASDAQ X ! Other/Not Applicable <br />Industry (MCC) Business Description <br />9399 - Government Services (Not Elsewhere Classified) Municipally owned Golf Driving Range <br />Industry Options <br />EjQuasi Cash <br />Website <br />Business Start Date <br />Business Phone <br />_`_ ---- -- --_._.---__--------) i (772) 770-5003 I <br />I <br />i <br />Page 1 of 11 CardConnect LLC is a registered ISO of Wells Fargo Bank, N.A., Concord CA Version CardCo2305 <br />