PIEDMONT AIRLINES

EMPLOYMENT APPLICATION

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|PERSONAL INFORMATION |
|LAST NAME FIRST NAME |ALIAS OR NICKNAME |SOCIAL SECURITY NUMBER |
|MIDDLE INITIAL | |224-71-6419 |
|Boswell William D | | |
|RESIDENT ADDRESS CITY STATE |PRIMARY PHONE |ALTERNATE PHONE |
|ZIP CODE | | |
| |720-271-6464 | |
|9601 Alfaree Road Richmond VA 23237 | | |
|ALTERNATE ADDRESS CITY STATE |EMAIL ADDRESS |
|ZIP CODE | |
| |Flyboy.boswell@icloud.com |
| | |
|POSITION APPLYING FOR |SALARY REQUIRED |DATE AVAILABLE |
|FT ________ | | |
|Cross-Trained CSA CRW | | |
|PT ___X____ | | |
|DO YOU HOLD A VALID DRIVER’S LICENSE? (STATE) |IF HIRED, CAN YOU PROVIDE WRITTEN PROOF OF AUTHORIZATION TO|HOURS AND DAYS YOU CAN WORK |
| |WORK IN THE UNITED STATES? | |
|COLORADO 13-200-0808 |YES |Flexible |
|EMPLOYMENT SOURCE: |
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|SELF-INITIATED: _____X_______ Friend or Associate: __________________________________ Advertisement in: _____________________________ |
| |
|EMPLOYEE REFERRAL: ______________________________________________________________ |
|EDUCATION: |
| | | | | |GRADE PT. AVG OR | |
| | |DATES ATTENDED | |DEGREE AND MAJOR FIELD|CLASS RANK | |
|TYPE OF SCHOOL |NAME OF SCHOOL CITY & STATE|(mm/yy) |GRADUATE? |OF STUDY | |SCHOLASTIC HONORS |
| | | |YES OR NO | | | |
| | | | | | | | |
| | | | | |GPA/RANK |OUT OF | |
| |Lloyd C. Bird HS |From: |YES |DIPLOMA |2.6 |4.0 | |
|HIGH SCHOOL |Chesterfield, VA |08/2009 | | | | | |
| | |To: | | | | | |
| | |05/2011 | | | | | |
| |Liberrty University |From: |Still Attending |Aviation | | | |
|COLLEGE |Lynchburg, VA |10/2012 | |- | | | |
| | |To: | |Commercial Pilot | | | |
| | |Present | | | | | |
| | |From: | | | | | |
|TECH. SCHOOL | | | | | | | |
| | |To: | | | | | |
| | |From: | | | | | |
|OTHER | | | | | | | |
| | |To: | | | | | |
|IF YOU WORKED WHILE ATTENDING SCHOOL, INDICATE APPROXIMATE HOURS PER WEEK. |
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|HIGH SCHOOL; ___________ HOURS/WEEK COLLEGE ____________ HOURS/WEEK |
|MILITARY SERVICE: |
|BRANCH: |DATES OF ACTIVE DUTY: |HIGHEST RANK: |RANK AT SEPARATION: |
| | | | |
|DUTIES PERFORMED: |
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Piedmont Airlines, Inc. is an Equal Opportunity Employer

|FIVE -YEAR BACKGROUND INFORMATION |

THE U.S. DEPARTMENT OF TRANSPORTATION AND THE FEDERAL AVIATION ADMINISTRATION REQUIRE PIEDMONT AIRLINES TO COMPLETE A FIVE (5) YEAR BACKGROUND CHECK ON ALL EMPLOYEES WHO WILL HAVE ACCESS TO SECURED AREAS OF AIRPORTS. PIEDMONT MAY NOT OFFER EMPLOYMENT TO ANY PERSON WHO WOULD HAVE ACCESS TO SUCH AREAS UNTIL THIS CHECK HAS BEEN COMPLETED. STARTING WITH YOUR PRESENT OR MOST RECENT EMPLOYER, LIST ALL FULL AND PART-TIME EMPLOYMENT: ALL SCHOOLING AND INFORMATION ABOUT ANY PERIODS OF UNEMPLOYMENT. ALL PERIODS FROM TODAY’S DATE BACK FIVE YEARS MUST BE ACCOUNTED FOR. PERIODS OF UNEMPLOYMENT OR SCHOOLING WILL ALSO REQUIRE VERIFICATION BY PIEDMONT.

| | |
|FROM: |EMPLOYER: United Airlines ADDRESS: Denver Intl Airport in Denver, CO |
|(mm/yy) |Number and Street City State |
| | |
|11/2013 |YOUR JOB TITLE: Transportation Agent TELEPHONE: __N/A_______ALT. PHONE: ________ |
| | |
| |SUPERVISOR: _____Renetta Perry___________ REASON FOR LEAVING: Be closer to family |
|TO: | |
|05/2014 |STARTING PAY: ______11.78____ENDING PAY: ____11.78____ MAY WE CONTACT NOW? X YES_____NO |
| | |
| |DESCRIPTION OF WORK AND RESPONSIBILITIES: |
| |Catering Aircraft |

| | |
|FROM: |EMPLOYER: ___SkyWest Airlines__________ ADDRESS: ____Denver Intl Airport in Denver, CO________ |
|(mm/yy) |Number and Street City State |
|07/2013 | |
| |YOUR JOB TITLE: ______Ramp Agent_______ TELEPHONE: ___N/a____ALT. PHONE: ________ |
| | |
| |SUPERVISOR: ___Neil Albus_______ REASON FOR LEAVING: ______Better options elsewhere_____ |
|TO: | |
|(mm/yy) |STARTING PAY: __10.00______ENDING PAY: _10.00_____ MAY WE CONTACT NOW? ___X___YES_____NO |
|11/2013 | |
| |DESCRIPTION OF WORK AND RESPONSIBILITIES: |
| | |
| |Loading aircraft with luggage and cargo as well as calculating weight and balance. |

| | |
|FROM: |EMPLOYER: ____Delta Airlines____ ADDRESS: _______Richmond Intl Airport in Richmond, VA___ |
|(mm/yy) |Number and Street City State |
| | |
|03/2013 |YOUR JOB TITLE: _____________________________ TELEPHONE: _____N/A___ALT. PHONE: ________ |
| | |
| |SUPERVISOR: _____Carla Sutera______ REASON FOR LEAVING: _____Moving to Colorado________ |
|TO: | |
|(mm/yy) |STARTING PAY: _____11.07____ENDING PAY: ___11.07_____ MAY WE CONTACT NOW? __X__YES_____NO |
| | |
|07/2013 | |
| |DESCRIPTION OF WORK AND RESPONSIBILITIES: |
| |Boarding aircraft in a timely manner for an ontime departure. |

| | |
|FROM: |EMPLOYER: ____Delta Airlines________ ADDRESS: _____Minneapolis Intl Airport in Minneapolis, MN__ |
|(mm/yy) |Number and Street City State |
| | |
|10/2012 |YOUR JOB TITLE: __________Ramp Agent_____ TELEPHONE: _____N/A__ALT. PHONE: ________ |
| | |
| |SUPERVISOR: ___________Michael Davis____________ REASON FOR LEAVING: _______Transfer to RIC____ |
|TO: | |
|(mm/yy) |STARTING PAY: ______11.07____ENDING PAY: ___11.07____ MAY WE CONTACT NOW? ___X__YES_____NO |
| | |
|03/2012 | |
| |DESCRIPTION OF WORK AND RESPONSIBILITIES: |
| | |
| |Loading aircraft with luggage and cargo, also workings as a GSC. |

(ATTACH ADDITIONAL SHEETS IF NECESSARY)

|FIVE-YEAR BACKGROUND INFORMATION |

THE U.S. DEPARTMENT OF TRANSPORTATION AND THE FEDERAL AVIATION ADMINISTRATION REQUIRE PIEDMONT AIRLINES TO COMPLETE A FIVE (5) YEAR BACKGROUND CHECK ON ALL EMPLOYEES WHO WILL HAVE ACCESS TO SECURED AREAS OF AIRPORTS. PIEDMONT MAY NOT OFFER EMPLOYMENT TO ANY PERSON WHO WOULD HAVE ACCESS TO SUCH AREAS UNTIL THIS CHECK HAS BEEN COMPLETED. STARTING WITH YOUR PRESENT OR MOST RECENT EMPLOYER, LIST ALL FULL AND PART-TIME EMPLOYMENT: ALL SCHOOLING AND INFORMATION ABOUT ANY PERIODS OF UNEMPLOYMENT. ALL PERIODS FROM TODAY’S DATE BACK FIVE YEARS MUST BE ACCOUNTED FOR. PERIODS OF UNEMPLOYMENT OR SCHOOLING WILL ALSO REQUIRE VERIFICATION BY PIEDMONT.

| | |
|FROM: |EMPLOYER: __________________________________ ADDRESS: ______________________________________ |
|(mm/yy) |Number and Street City State |
| | |
| |YOUR JOB TITLE: _____________________________ TELEPHONE: _______________ALT. PHONE: ________ |
| | |
| |SUPERVISOR: ________________________________ REASON FOR LEAVING: _________________________ |
|TO: | |
|(mm/yy) |STARTING PAY: ________________ENDING PAY: ___________ MAY WE CONTACT NOW? ______YES_____NO |
| |DESCRIPTION OF WORK AND RESPONSIBILITIES: |
| | |
| | |

| | |
|FROM: |EMPLOYER: __________________________________ ADDRESS: ______________________________________ |
|(mm/yy) |Number and Street City State |
| | |
| |YOUR JOB TITLE: _____________________________ TELEPHONE: _______________ALT. PHONE: ________ |
| | |
| |SUPERVISOR: ________________________________ REASON FOR LEAVING: _________________________ |
|TO: | |
|(mm/yy) |STARTING PAY: ________________ENDING PAY: ___________ MAY WE CONTACT NOW? ______YES_____NO |
| |DESCRIPTION OF WORK AND RESPONSIBILITIES: |
| | |
| | |

| | |
|FROM: |EMPLOYER: __________________________________ ADDRESS: ______________________________________ |
|(mm/yy) |Number and Street City State |
| | |
| |YOUR JOB TITLE: _____________________________ TELEPHONE: _______________ALT. PHONE: ________ |
| | |
| |SUPERVISOR: ________________________________ REASON FOR LEAVING: _________________________ |
|TO: | |
|(mm/yy) |STARTING PAY: ________________ENDING PAY: ___________ MAY WE CONTACT NOW? ______YES_____NO |
| | |
| |DESCRIPTION OF WORK AND RESPONSIBILITIES: |
| | |
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| | |
|FROM: |EMPLOYER: __________________________________ ADDRESS: ______________________________________ |
|(mm/yy) |Number and Street City State |
| | |
| |YOUR JOB TITLE: _____________________________ TELEPHONE: _______________ALT. PHONE: ________ |
| | |
| |SUPERVISOR: ________________________________ REASON FOR LEAVING: _________________________ |
|TO: | |
|(mm/yy) |STARTING PAY: ________________ENDING PAY: ___________ MAY WE CONTACT NOW? ______YES_____NO |
| |DESCRIPTION OF WORK AND RESPONSIBILITIES: |
| | |

(ATTACH ADDITIONAL SHEETS IF NECESSARY)

|WITHIN THE PAST TEN YEARS, HAVE YOU EVER BEEN CONVICTED OR FOUND GUILTY BY REASON OF INSANITY OF A FELONY FOR ANY OF THESE CRIMINAL ACTS? |
| |YES |NO |
| 1. Forgery of certificates, false marking of aircraft and other aircraft registration, 49 U.S.C. 46306 | |X |
| 2. Interference with air navigation, 49 U.S.C. 46308 | |X |
| 3. Improper transportation of a hazardous material, 49 U.S.C. 46312 | |X |
| 4. Aircraft piracy, 49 U.S.C. 46502 (formerly 49 U.S.C. App. 1472 (1) | |X |
| 5. Interference with flight crew members or flight attendants, 49 U.S.C. 46504 | |X |
| 6. Commission of certain crimes aboard aircraft in flight, 49 U.S.C. 46506 | |X |
| 7. Caring a weapon or explosive device aboard aircraft, 49 U.S.C. 46505 | |X |
| 8. Conveying false information and threats, 49 U.S.C. 46507 | |X |
| 9. Aircraft piracy outside the special aircraft jurisdiction of the United States, 19 U.S.C. 46502 (b) | |X |
|10. Lighting violations involving transporting controlled substances, 49 U.S.C. 46315 | |X |
|Unlawful entry into an aircraft or airport area that serves air carriers or foreign air contrary to established | |X |
|security requirements, 49 U.S.C. 46314 | | |
|12. Destruction of an aircraft or aircraft facility, 18 U.S.C. 32 | |X |
|13. Murder | |X |
|14. Assault with intent to murder | |X |
|15. Espionage | |X |
|16. Sedition | |X |
|17. Kidnapping or hostage taking | |X |
|18. Treason | |X |
|19. Rape or aggravated sexual abuse | |X |
|20. Unlawful possession, use, sale, distribution or manufacture of an explosive or weapon | |X |
|21. Extortion | |X |
|22. Armed or felony unarmed robbery | |X |
|23. Distribution of, or intent to distribute, a controlled substance | |X |
|24. Felony arson | |X |
|25. A felony involving a threat | |X |
|26. A felony involving willful destruction of property | |X |
|27. A felony involving importation or manufacture of a controlled substance | |X |
|28. A felony involving burglary or theft | |X |
|29. A felony involving dishonesty, fraud, or misrepresentation | |X |
|30. A felony involving possession or distribution of stolen property | |X |
|31. A felony involving aggravated assault | |X |
|32. A felony involving bribery | |X |
|A felony involving illegal possession of a controlled substance punishable by a maximum term of | |X |
|imprisonment of more than 1 year or any other crime classified as a felony that Administrator determines | | |
|indicates a propensity for lacing contraband aboard an aircraft in return for money, or conspiracy to | | |
|attempt to commit any of the above referred crimes. | | |
|34. Any other state or federal felony | |X |

|Special Skills |
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|Typing Speed: ________60__ wpm Data Entry: _____60WPM_____speed |
|Types of computer software used: _____MS OFFICE_________________________________________________________________ |
|Types of computer hardware used: _____________________________________________________________________________ |
|Other skills: ___Sabre, Apollo, Deltamatic, Shares __________________________________________________________ |

|PERSONAL INFORMATION |
|Have you ever refused to submit to or failed a drug or alcohol |
|test conducted under Dept. of Transportation and/or Federal |
|Aviation Administration regulations? |
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|YES _____ NO __X__ |
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|Have you ever interviewed with or been employed by Piedmont |
|Airlines, Henson Aviation, Henson Services, Butler-Jones |
|Air Freight or Allegheny Airlines? |
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|YES _____NO__X__ |
|Explain in detail any “YES” answers to the above questions. Provide additional sheets if necessary. |
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|Declaration |
|I certify that the information on this application is accurate and complete and is subject to verification by Piedmont Airlines. |
|I understand that any misrepresentation or omission of facts or circumstances on this application or any other pre-employment paperwork may result in denial or |
|termination of employment. |
|I understand that all new employees are subject to a probationary period. |
|I understand that I may be required to work any shift. |
|I also certify that I have accounted for all of my work experience and training on this application. |
|It is understood that Piedmont Airlines will make a thorough investigation of my entire work and personal history, to include my driving record, FAA or other licenses,|
|and possible a criminal history and/or FBI fingerprint check, and may verify all data given in my application for employment, related papers or oral interviews. I |
|further understand that Piedmont may obtain the results of any drug test or alcohol tests conducted at previous and/or present employers under terms and conditions of |
|the DOT/FAA Alcohol Misuse Prevention Program. I authorize such investigation and the giving and receiving of any information requested by Piedmont and I release from|
|liability any person giving or receiving any such information. I understand that omission or falsification of data given or other derogatory information discovered as|
|a result of this investigation will prevent my being hired, or if hired, will subject me to immediate dismissal. |
|I understand that I may be required to pass a test designed to detect the illegal use of drugs. I further understand I may be required to submit to drug and alcohol |
|breath testing during my employment. If applying for the position of Flight Crew Member, Flight Attendant, Flight or Ground Instructor, Aircraft of Ground Dispatch, |
|Aircraft or Preventative Maintenance, or Aviation Security or Screening, I understand that I will be tested for the presence of amphetamines, cannabinoids, cocaine, |
|opiates, and phencyclidine. I further understand that failure to pass or refusal to take a drug or alcohol test will automatically exclude me from employment with |
|Piedmont Airlines. |
|I understand that after I have been offered employment I may be required to complete a medical inquiry form. I may be required to submit to a physical examination to |
|determine my fitness to perform the essential functions of the position for which I am applying within Piedmont. |
|I understand that if I am employed, such employment is for an indefinite period of time and that Piedmont can change wages, benefits and conditions at any time. |
|Under Maryland law, an employer may not require or demand an applicant for employment or prospective employment or any employee to submit to take a polygraph, lie |
|detector test or examination as a condition of employment or continued employment. Any employer who violates this provision is guilty of a misdemeanor and subject to |
|a fine not to exceed $100. |
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|__________William Daniel Boswell IV__________ __________________05/19/2014______________ |
|Signature of Applicant Date |

US AIRWAYS EXPRESS/PIEDMONT AIRLINES WAIVER

I certify that all of the information that I provided on the Application for Employment for Piedmont Airlines is accurate and complete and is subject to verification by Piedmont Airlines.

I understand that any misrepresentation or omission of facts pertaining to the application and any other pre-employment paperwork may result in termination of employment.

I understand that the offer of employment is contingent on the following:

▪ Successful completion of a 5 year background check.

▪ A negative pre-employment drug screen test.

▪ Receipt of a satisfactory 3 year driving record.

__________William Daniel Boswell_________ (Signature)

______________05/19/2014_____________ (Date

Equal Employment Opportunity

Statistical Information

Dear Applicant:

Piedmont Airlines has a strong commitment to diversity and is an Equal Opportunity/Affirmative Action employer providing equal employment opportunities to all those qualified, without regard to race, color, religion, national origin, gender, age, marital status, disability, or sexual orientation. To assist us in the compliance of federal guidelines with respect to Equal Opportunity/Affirmative Action employment practices, all applicants are asked to voluntarily complete and return this form to Human Resources, 5443 Airport Terminal Road, Salisbury, MD 21804. This information will be used for statistical purposes only.

Name: _________William Daniel Boswell________

X Male ❑ Female

How did you learn of this opening:

❑ Newspaper Advertisement (please specify name) ____________________________

❑ Professional Journal (please specify name) _________________________________

❑ Professional Conference (please specify name) ______________________________

❑ Personal contact with department

❑ Personal contact outside department

❑ Posted Notice (please specify where) ______________________________________

X Internet

❑ Other (please specify) __________________________________________________

Ethnic Origin (please check one of the following):

← African American or Black

← American Indian or Alaskan native

← Asian

← Hispanic or Latino

← Pacific Islander or Native Hawaiian

X White

← Two or more races

Position Title and Department/Office for which you are applying (please be specific):
__________Cross Trained Agent in CRW____________________
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Consent to Request Consumer Report & Investigative Consumer Report Information

|W |I |L |
|SSN Trace |Employment Verification | OFAC/Terrorist Watch List |
|Motor Vehicle Report |Personal Reference |Fraud & Abuse Control Info System (FACIS®) |
|Consumer Credit Report |Professional License/Certification |Office of Inspector General Sanctions (OIG) |
|Other Please List: | | |

I acknowledge receipt of the attached summary of my rights under the Fair Credit Reporting Act and, as required by law, any related state summary of rights (collectively “Summaries of Rights”).

This consent will not affect my ability to question or dispute the accuracy of any information contained in a Report. I understand if COMPANY makes a conditional decision to disqualify me based all or in part on my Report, I will be provided with a copy of the Report and another copy of the Summaries of Rights, and if I disagree with the accuracy of the purported disqualifying information in the Report, I must notify COMPANY within five business days of my receipt of the Report that I am challenging the accuracy of such information with STERLING.

I hereby consent to this investigation and authorize COMPANY to procure a Report on my background.

In order to verify my identity for the purposes of Report preparation, I am voluntarily releasing my date of birth, social security number and the other information and fully understand that all employment decisions are based on legitimate non-discriminatory reasons.

The name, address and telephone number of the nearest unit of the consumer reporting agency designated to handle inquiries regarding the investigative consumer report is:

Sterling Infosystems, Inc. | 249 W 17th St. 6th Floor, New York, NY 10011 | 877-424-2457 | or | 5750 West Oaks Boulevard, Ste. 100
Rocklin, CA 95765 | 800-943-2589 |

□ California, Maine, Massachusetts, Minnesota, New Jersey & Oklahoma Applicants Only: I have the right to request a copy of any Report obtained by COMPANY from STERLING by checking the box. (Check only if you wish to receive a copy)

□ California, Connecticut, Maryland, Oregon, Vermont and Washington State Applicants Only (AS APPLICABLE): I further understand that COMPANY will not obtain information about my credit history, credit worthiness, credit standing, or credit capacity unless: (i) the information is required by law; (ii) I am seeking employment with a financial institution (California, Connecticut and Vermont only – in California the financial institution must be subject to Sections 6801-6809 of the U.S. Code and in Vermont it must be a financial institution as defined in 8 V.S.A.§ 11101(32) or a credit union as defined in 8 V.S.A. § 30101(5)); (iii) I am seeking employment with a financial institution that accepts deposits that are insured by a federal agency, or an affiliate or subsidiary of the financial institution or a credit union share guaranty corporation that is approved by the Maryland Commissioner of Financial Regulation or an entity or an affiliate of the entity that is registered as an investment advisor with the United States Securities and Exchange Commission (Maryland only); (iv) I am seeking employment in a position which involves access to confidential financial information (Vermont only); (v) I am seeking employment in a position which requires a financial fiduciary responsibility to the employer or a client of the employer, including the authority to issue payments, collect debts, transfer money, or enter into contracts (Vermont only); (vi) COMPANY can demonstrate that the information is a valid and reliable predictor of employee performance in the specific position being sought or held; (vii) I am seeking employment in a position that involves access to an employer’s payroll information (Vermont only); (viii) the information is substantially job related, and the bona fide reasons for using the information are disclosed to me in writing, (complete the question below) (Connecticut, Maryland, Oregon
| | |
|1.a. Banks, savings associations, and credit unions with total assets of over |a. Bureau of Consumer Financial Protection |
|$10 billion and their affiliates. |1700 G Street NW Washington, DC 20006 |
|b. Such affiliates that are not banks, savings associations, or credit unions |b. Federal Trade Commission: Consumer Response Center – FCRA Washington, DC |
|also should list, in addition to the Bureau: |20580 (877) 382-4357 |
|2. To the extent not included in item 1 above: | |
|a. National banks, federal savings associations, and federal branches and |a. Office of the Comptroller of the Currency |
|federal agencies of foreign banks |Customer Assistance Group 1301 McKinney Street, Suite 3450 Houston, TX 77010-9050|
|b. State member banks, branches and agencies of foreign banks (other than |b. Federal Reserve Consumer Help Center |
|federal branches, federal agencies, and insured state branches of foreign banks),|P.O. Box 1200 Minneapolis, MN 55480 |
|commercial lending companies owned or controlled by foreign banks, and | |
|organizations operating under section 25 or 25A of the Federal Reserve Act | |
|c. Nonmember Insured Banks, Insured State Branches of Foreign Banks, and insured|c. FDIC Consumer Response Center |
|state savings associations |1100 Walnut Street, Box #11 Kansas City, MO 64106 |
|d. Federal Credit Unions |d. National Credit Union Administration Office of Consumer Protection (OCP) |
| |Division of Consumer Compliance and Outreach (DCCO) 1775 Duke Street Alexandria, |
| |VA 22314 |
|3. Air carriers |Asst. General Counsel for Aviation Enforcement & Proceedings Department of |
| |Transportation 400 Seventh Street SW Washington, DC 20590 |
|4. Creditors Subject to Surface Transportation Board |Office of Proceedings, Surface Transportation Board Department of Transportation |
| |1925 K Street NW Washington, DC 20423 |
|5. Creditors Subject to Packers and Stockyards Act |Nearest Packers and Stockyards Administration area supervisor |
|6. Small Business Investment Companies |Associate Deputy Administrator for Capital Access United States Small Business |
| |Administration 406 Third Street, SW, 8th Floor Washington, DC 20416 |
|7. Brokers and Dealers |Securities and Exchange Commission 100 F St NE |
| |Washington, DC 20549 |
|8. Federal Land Banks, Federal Land Bank Associations, Federal Intermediate |Farm Credit Administration |
|Credit Banks, and Production Credit Associations |1501 Farm Credit Drive Mclean, VA 22102-5090 |
|9. Retailers, Finance Companies, and All Other Creditors Not Listed Above |FTC Regional Office for region in which the creditor operates or Federal Trade |
| |Commission: Consumer Response Center – FCRA Washington, DC 20580 (877) 382-4357 |
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www.sterlinginfosystems.com Page 5 of 5
249 West 17th Street, 6th Floor, New York, NY 10011 ( Telephone 877-424-2457 ( Facsimile 646-536-5239
09/2012
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