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Business Address <br />Street Address 1 <br />Street Address 2 <br />city State <br />ZIP Country <br />United States of America <br />Business Legal Mailing Address <br />Street Address 1 <br />Street Address 2 <br />i <br />ICity State <br />tL ----- <br />ZIP Country <br />j United States of America <br />Owner Information <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />Business Owner Information <br />Please provide the following information for each individual who owns, directly or indirectly, 25% or more of the equity interest of your <br />business. <br />First Name Last Name <br />Bela <br />Title <br />CEO. CFO COO <br />D 0 O O LLC Member Owner <br />1:1 Partner O President ID Secretary O Treasurer O Vice President <br />Ownership Percentage Personal Guarantee <br />L% -Yes <br />SSN Date of Birth <br />Mobile Phone Email <br />bnagy@ircgov.com <br />Residence Address <br />Street Address 1 <br />Street Address 2 <br />Page 2 of 11 CardConnect LLC is a registered ISO of Wells Fargo Bank, N.A., Concord CA Version CardCo2305 <br />