Montero Corporate Services

Entity Questionnaires

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Salary/Annual Compensation/Bonus Info

Name of Officer	Amount

Pension or Profit Sharing Plan Info

Money Purchase Pension Plan	Profit Sharing Plan	Other (Specify Type)

Dividends Info

Date Paid	Amount ($)

Medical Reimbursement
- Yes
- No
Our records indicate that this corporation has a Medical Expense Reimbursement Plan (the "Plan"). Please advise if there have been any changes to the Plan or if you would like any changes made to the Plan at this time.
New Medical, Disability, or Life Insurance
- Yes
- No
If yes, please provide us with a copy of the coverage summary or details thereof
File
Upload coverage summary here
Contracts
Real property leases
- Yes
- No
If yes, please upload the relevant contracts below
File
Personal property leases
- Yes
- No
If yes, please upload the relevant contracts below
File
Partnership/joint venture agreements
- Yes
- No
If yes, please upload the relevant contracts below
File
Professional services agreements
- Yes
- No
If yes, please upload the relevant contracts below
File
Any other significant agreements
- Yes
- No
If yes, please upload the relevant contracts below
File
Automobile Lease/Purchase
- Yes
- No
If yes, please provide copy of lease/purchase agreement or details thereof
File
Bank Accounts Opened during the Year
- Yes
- No
If yes, please provide copies of the agreements and certificates of resolutions filed with the banks, savings and loans, or brokers or details thereof
File
Loans: From the Corporation
- Yes
- No

Description of Loan

Date	Borrower	Amount ($)	% Int	Due Date (if any)

Description of Loan

Date	Lender	Amount ($)	% Int	Due Date (if any)

Corporate Guarantee of Personal Obligations
- Yes
- No
If yes, please provide copies of the documents relating to the guarantee
File
Credit Cards Issued through the Year
- Yes
- No

Credit Card Info

Issuer	Issuee	Authorized Users

Principal Executive Address
Please provide the current principal executive address for the corporation.
Principal Executive Address*
Street Address Address Line 2 City State ZIP Code
Officers, Directors and Shareholders
Please provide the names of the current Officers, Directors and Shareholders for the corporation
President*
Secretary*
CFO*

Directors*

Individual Shareholder (Click plus sign to add additonal names)

Name	# of Shares

Name of Trustee (Click plus sign to add additonal names)

Name	# of Shares

Name of Entity (Click plus sign to add additonal names)

Name	# of Shares