� Buaau of Alcohol,Tobacco,Firearms and Explosives 7q4��y R�d 06!'_5/?010
<br /> Federal Explosives Licensing Center(FELC) Martinsburg,West Virginia 25405
<br /> www.atf.govi celephone:(877)283-3352 fax: (304xi16-4401
<br /> 1"�1�OTICE OF CLEARANCE
<br /> for individuals transporting, shipping, receiving, or possessing explosive materials.
<br /> ISSUEDTO: ►u�s,JOHNDAVm FedcralExplosiveslicwse/pamitao: I-FL•101-543G-008Ci6
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<br /> NOTICE DATE: 06125R010 Expksives LioensdPeimit Type: $�()$pt OF FIREWORKS(DISPLAl1
<br /> EXPIRATION DATE: This Notice e:pites w�eo superseded by a�ewer 1Votice wYtch rviil Lst all curreot responsible peraoos and empioyee
<br /> poeseseors,or w6en the liceese or permtt exptrea-whichever comes�rat.
<br /> 0 V1'ARI�'ING Onh those indi��iduats listed beloN as RESPONSIBLE�'ERSONS�nd E!11PL01 EE POSSESSOI2S with a background clearance
<br /> staros oi"C►.E.ARED"or"PF;NDItiG"arc auihqrized to transport,ship,recei�e,or pussess ex�losi�e materials in the cuurse uf emplo�menl��ith
<br /> �ou. '
<br /> B "DF..1�IF.D" S7�ATUS. If an rmplo��re pussessur has p background clearance statuS of"D�NIED",�ou M1fl'S7'rake immediate steps to remo�•e
<br /> the employee trom a position requiring the transporting,ship{ung,receiring,or possessing of eaplosi�e materials. Alsn,if the employer has been
<br /> listed as a person authorized to accept dcli�cr� of caplosi�•C m�Ceriais,}QU MEISTxrmove the employee from such list and immediatel},and in no
<br /> e�•ent later than the second busi�ess da� after such chanke,notifi disfributor5 of such change,as stated in 27 CFR 555.33(a).
<br /> B CIIA:\G� IN RESPONSIBLE PERSONS. You�1LST ���: ����=;�� —! �,�"�''�;.�>,���`�x��• Y�'`�- `°`= .
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<br /> re ort an} chan c in res onsible crsons tu thc Chicf,Fedcral �^°�'��`�'��'�'�"$`�°"• ��� f.�„��rt* � �� ��R`�`� �e'-�'�4
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<br /> E�plosi�es LicensinK Center,���ithin 30 da�s of thr ch•anke and � x����� ��'�W�*�'����mr�r„,,,,����„'„`� �f°`� '" '�"`4 ,,��
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<br /> information' as defined in 27 CFR 55$ g p =:��^� e�t Q - ��`�-- s��""f"�'�:,�,.« ^a��- -
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<br /> reneN al of the license or permit. ��„ � - �;��� ��������R��'�'°'�
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<br /> CHANGE O�E�1PL01'EGS. 1 ou A9UST report an� chanKe - `-_ . -,�;t.���_ ;,�,� ,.�. �'"�a<M_ �'.. „�
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<br /> of em lo��ee/ ossessors to the Chief,FELC.N�ithin 30 dars. � _� � ��`� �^�-t�- ��������<�- ;�k�.����.� <,�,•�,..��:,
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<br /> Reports relating to ne��h hired emplo�•ees must be ,,�.,�,� ������;. ;,,�����._ .�,a��.-.m..,:4�::�;;;'"k"°'�",:�;Y;�.;;��,;�p��;.,�,�,:,w� ;„
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<br /> submitted on A'I E I�orm 5401IZR for F ACH emplo�ee. ^-^°�
<br /> This'Notice of Clearance'is provided to you as required by 18 U.S.C.843(h)and MUST be retained as part of yow permanent records and
<br /> be made available for examination or inspection by ATF officers as required by 27 CFR 555.121. If you receive a Notice subsequent to
<br /> this Notice,this Notice will no longer be valid.
<br /> In accordance with 27 CFR 55533,Background Checks and Cleaiances,and 27 CFR 555.57,Change of Control,Change in Responsible
<br /> Persons,and Change of Employees,ATF's Federal Explosives Licensing Center(FELC)has conducted backgmund checks on the individual(:
<br /> you identified as a responsible person(s)and an employee/possessor(s)on your application,or reported after the issuance of your
<br /> licenselpermit.
<br /> The following is a SUMMARY of the results of the background checks conducted on the individuals you reported as responsible persons
<br /> x and employee/possessors. ATF will be notifying ALL individuals listed on this document of their respective status by separate letter
<br /> �mailed to their residence address.
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<br /> �PLEASE BE ADVISED THAT IT IS UNLAWFUL FOR ANY PERSON REFLECTING A STATUS OF"DENIED"TO
<br /> �TRANSPORT,SHIP,RECEIVE,OR POSSESS EXPLOSIVE MATERIALS.
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<br /> gPlease carefully review this Notice to ensure that all the information is accurate. lf this Notice is incorrect,please return the Notice to the
<br /> °Chief,FELC,with a statement showing the nature of the error(s). The Chief,FELC,shall correct the error,and
<br /> `return a corrected Notice.
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