Common use of DUNS Number; ▇▇▇ Registration; Nature of Entity Clause in Contracts

DUNS Number; ▇▇▇ Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is ▇▇▇▇▇▇▇’s correct DUNS number, that is ▇▇▇▇▇▇▇’s correct FEIN or Social Security Number, and that Grantee has an active State registration and ▇▇▇ registration (if federal funds). Grantee is doing business as a (check): Individual Nonresident Alien Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □ D = disregarded entity Estate or Trust □ C = corporation Pharmacy-Non Corporate □ P = partnership

DUNS Number; ▇▇▇ Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is ▇▇▇▇▇▇▇’s correct DUNS number, that is ▇▇▇▇▇▇▇’s correct FEIN or Social Security Number, and that Grantee has an active State registration and ▇▇▇ registration (if federal funds). Grantee is doing business as a (check): Individual Nonresident Alien Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □ D = disregarded entity Estate or Trust □ C = corporation Pharmacy-Non Pharmacy‐Non Corporate □ P = partnership

DUNS Number; ▇▇▇ Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is ▇▇▇▇▇▇▇’s correct DUNS number, that is ▇▇▇▇▇▇▇’s correct FEIN or Social Security Number, and that Grantee has an active State registration and ▇▇▇ registration (if federal funds). Grantee is doing business as a (check): Individual Nonresident Alien Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □  D = disregarded entity Estate or Trust □  C = corporation Pharmacy-Non Corporate □  P = partnership

DUNS Number; ▇▇▇ Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is ▇▇▇▇▇▇▇’s correct DUNS number, that is ▇▇▇▇▇▇▇’s correct FEIN or Social Security Number, and that Grantee has an active State registration and ▇▇▇ registration (if federal funds). Grantee is doing business as a (check): Individual Nonresident Alien Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □ D = disregarded entity Estate or Trust □ C = corporation Pharmacy-Non Corporate □ P = partnership

DUNS Number; ▇▇▇ Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is ▇▇▇▇▇▇▇Grantee’s correct DUNS numberNumber, that XXX is Grantee’s correct UEI, if applicable, that is ▇▇▇▇▇▇▇Grantee’s correct FEIN or Social Security Number, and that Grantee has an active State registration and ▇▇▇ registration (if federal funds)registration. Grantee is doing business as a (checkcheck one): Individual Nonresident Alien Pharmacy-Non Corporate Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □ D P = disregarded entity partnership Estate or Trust □ C = corporation Pharmacy-Non Corporate □ P = partnershipcorporation

DUNS Number; ▇▇▇ Registration; Nature of Entity. Under penalties of perjury, Grantee certifies that is ▇▇▇▇▇▇▇Grantee’s correct DUNS number, that is ▇▇▇▇▇▇▇Grantee’s correct FEIN or Social Security Number, and that Grantee has an active State registration and ▇▇▇ registration (if federal funds). Grantee is doing business as a (check): Individual Nonresident Alien Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. Partnership Tax Exempt Corporation (includes Not For Profit) Limited Liability Company (select Medical Corporation applicable tax classification) Governmental Unit □ D = disregarded entity Estate or Trust □ C = corporation Pharmacy-Non Pharmacy‐Non Corporate □ P = partnership