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Company ID Number: 449462 <br />Information Required for the E -Verify Program <br />Information relating to your Com pany: <br />Company Name: <br />TLC Diversified, Inc. <br />Com an Fac ili Address: <br />2719 17th Street East <br />Palmetto, FL 34221 <br />Company Alternate <br />Address: <br />County or Parish: <br />Manatee County <br />Employer Identification <br />Number. <br />59-2513308 <br />North American Industry <br />Classification Systems <br />Code: <br />Administrator: <br />Joanne R Lamberson <br />Number of Em to ees: <br />so+i- <br />Number of Sites Verified <br />for <br />All Job Sites <br />Are you verifying for more than 1 site? If yes, please provide the number of sites verified for <br />'n each State:. <br />State ! Number of sites <br />Site(s) <br />Florida <br />-Iowa 3 <br />-- <br />—I r <br />Page 12 of 13 I E -Verify MOU for Employer I Revision Date 09/01/09 www.dhs.gov/E-Verify <br />190 <br />