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Get Standard Form (sf) - Floresca Associates, Inc.

Rive, Suite 116 Carrollton, Texas 75006 3. Date Prepared: July 2004 4. Specify type of ownership and check below if applicable CORPORATION A. Small Business X B. Small Disadvantaged Business C. Woman-Owned Business 1a. Submittal is for X Parent Company 5. Name of Parent Company, if any: Branch or Subsidiary Office 5a. Former Parent Company Name(s), if any, and Year(s) Established: NONE NONE 6. Names of not more than Two Principals to Contact: Title/Telephone Felicisimo S. (Jun) Floresc.

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