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02/25/2009 14:30 8139865994 DOAN ELECTRIC PAGE 04 <br /> y 71 y <br /> _' . <br /> • <br /> PL.EAtE : , G11 ; t : ' 0;0 a ., A•R0 :AND RETAIN FOR F;UTUREREFE•R.ENCE • <br /> ' �' , �. ` � 4 • 'IMPORTANT': <br /> ,.,.,,•. c - i � , Pursuant -to Chapter 440.05(14), FS -; an officer of a corporation who <br /> _,,„,-4 ....,....,...._,,,, elects eitemption from this chapter by :. filing a certifibate of :.blectlan' <br /> ',S ". i rl 4 e� .d L under this sectinn• may not rec benefits • :or`compansation. iinder,.tMs - <br /> 41oN tsl►W ' ;:! R ; D. chapter. <br /> • <br /> f , . ; 02/20/2008 EX f u , 02,/ Pursuant . .to • Chapter 440.051121, F.S.; )Certiflcetes of • eltfctien. to be' ' <br /> WW.r.4: -D DDAllf.' \ �% t' il, � exempt:.. eRPfy . only within the scope of the business or trade, listed on • <br /> .'2006$5027 E the notice • of election to be • exempt: ; : ; . <br /> i' N AN ADDRESS ` u E: Pursuant to 'Chapter 440:05(131, F -S.. Ngvi of election to bei , e e i . % <br /> . r '0 AN €LtCTIc:iec 1 : i end certificates. of electron'to be exempt shall be subject ;to revocation • ' z. rasa • if; at any..time, after the filing of the. notice ar the issuance of the: • <br /> r= * : <br /> I Otcieit5A FL ,3si9x r � <br /> '. 1 ,� certificate; the person .name . on the notice or certificateb no .tenger stleets , <br /> - :' • <br /> the requirements of this • section for. issuance . ..Cf. e.certificate. The <br /> � department 'shall revoke ,a dertif icste; at any : tired.' for failure .of the <br /> 00.E OF :aLisu S S:, OR TRA[7E ' ' Person 'named on the certificate to meet the requirements, o.f This ' • .section,. .. • <br /> k gUESTIONS? (50) 413 - <br /> a lp CUT HERE <br /> �k r M Gard' k9.aattom bn tFlq' job, .kesp upp per..tion;.for your record <br /> a x. . • P ` .' ' s }; '4.4i4.•;."...:•:- <br /> 10''*2 L'Ef#TftICATE OF ELECC10 f TO.:Bt HX ..s4 a , QgL1 .;' <br />