Company Filings
If you are seeking access to your records or records pertaining to you, you must complete and sign the statement below.
If you are acting in a representative capacity and are seeking access to another individual’s records, you must have the represented individual complete a Consent for Disclosure of Records Protected under the Privacy Act form located at (Consent for Disclosure of Records Protected under the Privacy Act).
In order for your request to be processed, you must provide an electronic signature below, which acknowledges that you have read and understand the following statement:
I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct, and that I am the person named above and requesting access to my records or to information pertaining to me, and I understand that any falsification of this statement is punishable under the provisions of 18 U.S.C. § 1001 by a fine, imprisonment of not more than five years, or both, and that requesting or obtaining any record(s) under false pretenses is punishable under the provisions of 5 U.S.C. § 552a(i)(3) by a fine of not more than $5,000
