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� 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 <br /> . E���: �ut� 1,Zo�� <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 EXPIRATION DATE: This Notice e:pites w�eo superseded by a�ewer 1Votice wYtch rviil Lst all curreot responsible peraoos and empioyee 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�'`�- `°`= . <br /> K'T'"+'3.' Hj�n.�. Ae `niqMd�+�M �N� M1� M N _ i x,e <br /> re ort an} chan c in res onsible crsons tu thc Chicf,Fedcral �^°�'��`�'��'�'�"$`�°"• ��� f.�„��rt* � �� ��R`�`� �e'-�'�4 <br /> P � P P `` �,.�� ���.�..�.. .��� '�° <br /> w H .��� �� � � ;�r <br /> E�plosi�es LicensinK Center,���ithin 30 da�s of thr ch•anke and � x����� ��'�W�*�'����mr�r„,,,,����„'„`� �f°`� '" '�"`4 ,,�� <br /> � ��,� <br /> . . . . . . . - r _. <br /> �i:�', <br /> �.�..o-��.. <br /> n <br /> _ .,.ro..�:r. <br /> N bl rsons M �S7 �nclude a ro r�ate�dent�fi•�n - �f���: ,-"���"`° ��'� "�'"�" `�'�"r���'-•� .�.o��«�;ri: <br /> ne respons� e pe l. Pp P g „':�,��.;:�:�;� �,,,,.,;�; ,�:::, �.m"`;�'`_.,-„M. : � _ <br /> information' as defined in 27 CFR 55$ g p =:��^� e�t Q - ��`�-- s��""f"�'�:,�,.« ^a��- - <br /> .11. Fin er rints and �- - `, ;,,,.:..��,.><. . . �-e����,�,�..�p��,�ar��,.,. <br /> � �.:a�.>.t.��;;�;;;��a:s;»�Y r.,.m,..>��:�;:>;.'��,,»�«n���' <br /> ,�A" R1YZk3 ,�£tK L��«hMyYV-.:.� . .� .. wn.m.w?n,rm.Y�. <br /> photus are'�07 rryuired,hohever the� ��ill be reyuired upon ��� ��«,..�<� KK;,'�b� .°^� .°�°,.;,;;,.. .; <br /> .v�;�<":��R- , . :�.:�n.�',�:�= <br /> reneN al of the license or permit. ��„ � - �;��� ��������R��'�'°'� <br /> .r�.: ��.� o, '".'�. :;�'�;;w„�. , ���-- :>:ka�w.�`�a.,. <br /> .� <br /> �_ ,.�� ,���;,� -w�;�.o�.°��°: <br /> , - .,�,..,. <br /> , :.;..,., <br /> O ,m. ,�,.._�;�,.. , g � - <br /> ..,_..: �w,:.�, . <br /> �t,_ �������';� :�:� r�,���.�, <br /> CHANGE O�E�1PL01'EGS. 1 ou A9UST report an� chanKe - `-_ . -,�;t.���_ ;,�,� ,.�. �'"�a<M_ �'.. „� <br /> �:,��,>.a��c� -�».:-.;�,�-�����::�, _ o `c.�w..�:.�;'�3:bt�'.''�:�,.� <br /> rq:.�:°'�,��i:o.��.,�«r�:,e.�:�.a.�a:;�«�,.:.. <br /> of em lo��ee/ ossessors to the Chief,FELC.N�ithin 30 dars. � _� � ��`� �^�-t�- ��������<�- ;�k�.����.� <,�,•�,..��:, <br /> P P �:,�..�:�. . .... .��;..�.�„ �e:�,����' - :�,�.�� �. .,.y..,.,,,:tM <br /> �••��u,-Maaas#�-;x� -.'��. ..s�`x:� _ ;xar�i�.r�:au&�r� »a, <br /> 's�3�an�r." �x.o� 'Sx'S^"".i�^na . i.9���;a.{wg,s»m;t.,,.F,,,. <br /> Reports relating to ne��h hired emplo�•ees must be ,,�.,�,� ������;. ;,,�����._ .�,a��.-.m..,:4�::�;;;'"k"°'�",:�;Y;�.;;��,;�p��;.,�,�,:,w� ;„ <br /> g�'..ws,n.f.-...,i`t�...a�.r.+�^mw.r s..n�E.bn.n.v�sU� 'ws,SL ,±."+t�wrt�a.r���wfe's^P+F��, M.aw <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. <br /> 9 <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. <br /> d <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. <br /> s <br /> ° N�;� SPONSIBLE.F : � ,-.;F ,��_ <br /> . <br /> > �. <br /> a =�.... ,< .. . � k, r� ��ued �.��:.° ;�:x.�., <br /> ,� pD�b� LO E � i . .."�. °�'""�• :� �y: n� <br /> �1�1 �, a `a - <br /> � � � : � ,z,� �;� �� <br /> , . ... <br /> . r . .�,, <br /> �t.., �. . �.. ..�n-;. <br /> .. m �� <br /> # _, . . <br /> �.:'� ;�., <br /> o �.. ��, <br /> `�'� °�° a:. � :av.a. <br /> '�g =�',:AC��NAMF�,;;Filrst. �i3�e�nie C tiC`"�'t�i� <br /> ¢.,k.A ;�`�r� flame;,�11��d1. ` �ra ee�ta �'• ,� �� r- £ .r a <br /> �� i �t.. .,� � a; ��� ,�_ ': > � � e,_ , °" ' . §' a '�".`�. <br /> - LE R�S:�. ;��: � �w �. } � �`- ' :; �� � �mn M, t: <br /> ,� �:•��. <br /> �. -�"��=,.,,�. a�a� °�;�� „ „°�" �; ..��e � _ '�, .�?�� ,�''� ,�F �� ° °�, � <br /> b. �.. `l,�y, � �` +z...�m,. .+u�w9' �.�¢�^ �,.l.r '��.,.� .. s� Ffi <br /> , x <br /> " ae.. <br /> � � <br /> HAYES.IOFi�1�1� ..�.r .' , �� <br /> . <br /> n: <br /> -�. � �.�..,, <br /> '�-�`..�a.,dx,�..�w.•�� �������- ''�° - - �*��«,.' p .:;:� <br /> A W .«w:�/ 'bN�b!' ...-. .'. Svam� : ��'"" <br /> E_,�a. ;;�.�rPOSSESSOR�: R�:,��`� 0 ;��`�.�����.� _°��.��:..� °�°�.���< . <br /> @ <br /> . . .�.m:w.». . -.�,.�; . m: . .«.t«;a�.'��aes. <br /> %wa y.. " a.��°:�Ay _ ... �id'wx ..�:�'::� ... -«25*.4 , . <br /> �y" >. :xx*�.s� ... �Z-d� fi,� t�£:`s .`idA . � x.S¢vr�..A�v>�, ... . ..c.� <br /> � n. .�.. .� e' �s.r..6.,..y.'.a?n_ w� <br /> u�� � ` ` Y� AC° '�y� • ` • .:& S ... �` n� P%an¢.� ` , y a e o.,.�,u <br /> `� : .. „rm?� W.� . " "^ -..d 4 fie' �,^.- >S �� "'"- . M .a.` i.�k <br /> � �4 ��,-'"k� 4_� »; a .��J,,.." ,� p' � _� #m '. q. q,.c�ro ��iry �„� � �'' <br /> �q .� r i •.�-. 'e!.. }:.� +y.,� �inta^, m�c: .?� ^ �� 'wa a. ^J a;ea„s ,ei'k� � � . x �g��� <br /> b�'k,u,a.r> ' ��" .��.. `°w°�...., .. . w .. s ,.+a. .. .e �,'.. �. .� .. ;d1�y�, �� .. , " ' . r... a.�-.• .. <br /> �.� ^ � �'. ���� J� <br /> page 1 of 1 <br />