- 12 -- 12 -
Disclosure Statement in firm name together with
signature of General Partners; if an individual, have
signature notarized.
The corporate seal of Rosewood Kennels, Inc., was affixed to the
form. Petitioner signed above her name and "President", and Mr.
Moye signed above his name and "Secretary/Treasurer". Their
signatures were not notarized.
2. August 9, 1990, Note
Petitioners signed a personal note for a construction loan
for the police dog training business on August 9, 1990. They
used the proceeds of the August 9, 1990, loan to build buildings
and roads for the business.
3. Insurance Endorsements
On October 2, 1990, Mr. Moye signed three endorsements
(smoke heat detection, exclusions for actions based on sexual
harassment claims, and lead paint poisoning) effective September
26, 1990, for an insurance policy issued to "Rosewood Kennels and
Southern Police Dog Academy, Inc." by Western World Insurance Co.
4. Workers' Compensation Election
On December 8, 1990, petitioner signed Georgia Form WC 8
(Corporate Officer Rejection, State Board of Workers'
Compensation). In that form, she certified that she was "an
officer of Southern Police Dog Academy" and elected to be
excluded from certain workers' compensation insurance coverage.
Page: Previous 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 NextLast modified: May 25, 2011