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PINEAPPLE <br />TN <br />E <br />M <br />Y <br />A <br />7 <br />PAYMENT S <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 />Application Platform <br />North <br />Contact Information <br />First Name <br />( Bela <br />Email <br />bnagy@ircgov.com <br />Last Name <br />Nagy <br />Phone Number <br />(772) 770-5000 <br />Business Information <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 <br />DBA Name <br />Sandridge Golf Club <br />Tax Filing Method <br />EIN <br />X <br />Type of Ownership <br />X Government <br />Non -Profit Org <br />Public Corporation <br />SSN <br />Tax Filing Name <br />Indian River County <br />Tax ID (EIN) <br />Individual / Sole Proprietor <br />Partnership <br />Tax Exempt <br />Limited Liability Company <br />Private Corporation <br />Stock Exchange (Only applicable for Public Corporations) Stock Ticker Symbol (NYSE or NASDAQ) <br />rNYSE or NASDAQ <br />Industry (MCC) <br />X <br />Other/Not Applicable <br />9399 - Government Services (Not Elsewhere Classified) <br />Industry Options <br />Quasi Cash <br />Website <br />Business Description <br />Municipally owned Golf Driving Range <br />Business Start Date <br />Business Phone <br />(772) 770-5003 <br />88 <br />