emidef14a112608.htm
U.S.
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON,
D.C. 20549
SCHEDULE
14A INFORMATION
INFORMATION
REQUIRED IN PROXY STATEMENT
Proxy
Statement Pursuant to Section 14(a) of the Securities
Exchange
Act of 1934 (Amendment No. )
Filed by
the Registrant [X]
Filed by
a Party other than the Registrant [_]
Check the
appropriate box:
[_]
Preliminary Proxy Statement
[_]
Confidential, for Use of the
Commission
Only (as permitted by
Rule
14a-6(e)(2))
[X]
Definitive Proxy Statement
[_]
Definitive Additional Materials
[_]
Soliciting Material under Rule 14a-12
EMAZING
INTERACTIVE, INC.
(Name of
Registrant as Specified In Its Charter)
(Name of
Person(s) Filing Proxy Statement, if other than the Registrant)
Payment
of Filing Fee (Check the appropriate box):
[X] No
fee required
[_] Fee
computed on table below per Exchange Act Rules 14a-6(i)(4) and
0-11.
1. Title
of each class of securities to which transaction applies: Common
Stock
2. Aggregate
number of securities to which transaction applies: 5,763,500
3. Per
unit price or other underlying value of transaction computed pursuant to
Exchange Act Rule 0-11 (set forth the amount on which the filing fee is
calculated and state how it was determined):
4. Proposed
maximum aggregate value of transaction:
5. Total
fee paid:
[_] Fee
paid previously with preliminary materials.
[_] Check
box if any part of the fee is offset as provided by Exchange Act Rule 0-11(a)(2)
and identify the filing for which the offsetting fee was paid previously.
Identify the previous filing by registration statement number, or the Form or
Schedule and the date of its filing.
(1)
Amount Previously Paid:
(2)
Form, Schedule or Registration Statement No.:
(3)
Filing Party:
(4)
Date Filed:
EMAZING
INTERACTIVE, INC.
101C N.
Greenville Ave.
Suite
255
Allen,
Texas 75002
(972)
983-1453
NOTICE OF
ANNUAL MEETING OF STOCKHOLDERS
Emazing
Interactive, Inc., a Nevada corporation, will hold its Annual Meeting of
Stockholders at its offices located at 1541 E Interstate 30, Suite 140,
Rockwall, Texas 75087 on December 29, 2008. We are holding the meeting for the
following purposes:
1) To
elect members of the Board of Directors, whose terms are described in this proxy
statement;
2) To
transact such other business as may properly come before the meeting and any
postponement or adjournment thereof.
Holders
of record of Emazing Interactive common stock at the close of business on
November 24, 2008, are entitled to vote at the meeting. The Board urges
Stockholders to vote "FOR" Item 1 and solicits your vote.
In
addition to the proxy statement, proxy card and voting instructions, a copy of
Emazing Interactive’ annual report on Form 10-K and quarterly reports on Form
10-Q, which are not part of the proxy soliciting material is
enclosed.
It is
important that your shares be represented and voted at the meeting. We hope you
will be able to attend the Annual Meeting. Whether or not you expect to attend
the meeting, please vote your shares using the enclosed proxy card. Simply sign
the return card where required, note the number of shares you own and if you
will attend the meeting in person, and return the card in the envelope provided
to us at the address first written above. Of course, you may also vote your
shares in person at the Annual Meeting.
By Order
of the Board of Directors,
-----------------------------------
Edward
Hancock
President
November
14, 2008
PROXY
STATEMENT
We are
providing these proxy materials in connection with the solicitation of proxies
by the Board of Directors of Emazing Interactive, Inc., a Nevada corporation, to
be voted at our Annual Meeting of Stockholders, to be held on December 29, 2008,
and at any meeting following postponement or adjournment of the Annual
meeting.
You are
cordially invited to attend the annual meeting, which will begin at 8:45 AM. The
meeting will be held at 1541 E. Interstate 30, Suite 140, Rockwall, Texas 75087.
Stockholders will be admitted beginning at 8:30 AM. The location is accessible
to handicapped persons, and we will provide wireless headsets for hearing
amplification upon request.
You will
need an admission ticket to enter the meeting. If you are a stockholder of
record, you will find an admission ticket attached to the proxy card sent to
you. If you plan to attend the annual meeting, please retain the admission
ticket. A map and directions to the annual meeting are printed on the admission
ticket.
If your
shares are held in the name of a bank, broker, or other nominee and you plan to
attend the annual meeting, you can obtain an admission ticket in advance by
sending a written request, along with proof of ownership, such as a recent bank
or brokerage account statement, to our transfer agent, Signature Stock Transfer,
Inc., 2632 Coachlight Court, Plano, Texas 75093, (972) 612-4120. If you arrive
at the annual meeting without an admission ticket, we will admit you if we are
able to verify that you are a stockholder of Emazing Interactive,
Inc.
We are
first mailing this proxy statement, the proxy card and voting instructions on
November 26, 2008, to persons who were stockholders at the close of business on
November 24, 2008, the record date for the meeting.
IMPORTANT--PLEASE
READ
Whether
or not you expect to attend the Annual Meeting in person, we urge you to vote
your proxy at your earliest convenience by mail using the enclosed envelope.
This will ensure the presence of a quorum at the Annual Meeting and will save us
the expense of additional solicitation. Sending in your proxy card and voting
will not prevent you from voting your shares at the Annual Meeting, or changing
your vote, if you desire to do so. It will also help us provide adequate seating
if you note that you will attend. Your proxy is revocable at your option in the
manner described in the Proxy Statement.
PROXIES
AND VOTING PROCEDURES
You can
vote your shares by completing and returning a proxy card or, if you hold your
shares in "street name," a voting instruction form.
If your
shares are held in "street name," you must obtain a proxy, executed in your
favor, from your broker or other holder of record, to be able to vote at the
meeting.
You can
revoke your proxy at any time before it is exercised by timely delivery of a
properly executed, later-dated proxy or by voting in person at the
meeting.
All
shares entitled to vote and represented by properly completed proxies received
prior to the meeting and not revoked will be voted at the meeting in accordance
with your instructions.
If you
hold your shares through a broker, your shares may be voted even if you do not
attend the annual meeting.
Abstentions
and broker non-votes do not have the effect of votes in opposition to a
director. Abstentions are also counted towards determining a
quorum.
If any
other matters are properly presented at the annual meeting for consideration,
including, among other things, consideration of a motion to adjourn the meeting
to another time or place, the individuals named as proxies and acting thereunder
will have discretion to vote on those matters according to their best judgment
to the same extent as the person delivering the proxy would be entitled to vote.
If the annual meeting is postponed or adjourned, your proxy will remain valid
and may be voted at the postponed or adjourned meeting. You will still be able
to revoke your proxy until it is voted. At the date this proxy statement went to
press, we did not anticipate that any other matters would be raised at the
annual meeting.
STOCKHOLDERS
ENTITLED TO VOTE
You are
entitled to vote at the annual meeting all shares of our common stock that you
held as of the close of business on the record date. Each share of our common
stock is entitled to one vote with respect to each matter properly brought
before the meeting.
On
November 24, 2008, the record date, there were 5,763,500 shares of common stock
outstanding.
A list of
stockholders entitled to vote at the meeting will be available at the meeting,
and for 10 days prior to the meeting, at 101C N. Greenville Ave., Suite 255,
Allen, Texas 75002 between the hours of 10:00 a.m. and 5:00 p.m. local
time.
REQUIRED
VOTE
The
presence, in person or by proxy, of the holders a majority of the shares of a
voting group entitled to vote at the annual meeting, shall constitute a quorum
of that voting group, which is required in order to transact business at the
meeting.
COST OF
PROXY DISTRIBUTION AND SOLICITATION
Emazing
Interactive, Inc. will pay the expenses of the preparation of the proxy
materials and the solicitation by the Board of Directors of proxies. Proxies may
be solicited on behalf of Emazing Interactive, Inc. in person or by telephone,
e-mail, facsimile or other electronic means by directors, officers or employees
of Emazing Interactive, Inc., who will receive no additional compensation for
soliciting. In accordance with the rules of the Securities and Exchange
Commission, we will reimburse brokerage firms and other custodians, nominees and
fiduciaries for their expenses incurred in sending proxies and proxy materials
to beneficial owners of Emazing Interactive, Inc. stock.
PROPOSAL
1 -
PROPOSAL
FOR THE ELECTION OF DIRECTORS
The Board
of Directors is comprised of only one director. Directors will be elected by the
affirmative vote of a plurality of the votes cast at the Annual Meeting. Our
current sole director, Edward Hancock, is standing for reelection, and if he is
elected, will continue to be our sole director. To date we have not had annual
meeting. We only have one director, who is also our Chief Executive and
Financial Officer and therefore there are no family relationships among our
directors or executive officers. Provided below is a brief description of our
director's business experience during the past five years and an indication of
directorships he has held in other companies subject to the reporting
requirements under the Federal securities laws. Our director will serve until
the next annual meeting of shareholders and until his successor(s) are elected
and qualified, or until his earlier death, retirement, resignation or removal.
Information with Respect to Director Nominees
Edward
Hancock: Mr. Hancock started in eSports at age 13, being a very talented game
player at an early age opened doors for him at such an early age for the level
of competition offered. From the conception of the most popular game he has been
in the in the top 15% of American players. Coupled with his 10 year computer and
internet experience and knowledge of Game Servers this helped him to understand
all aspects of the online gaming industry, particularly game servers and
performance. Mr. Hancock has been the sole officer and director of
Emazing Interactive, Inc., since 2006.
Pursuant
to our Articles of Incorporation, this proposal can be approved by a plurality
of the votes cast by the holders of shares entitled to vote in the election of
directors.
THE BOARD
OF DIRECTORS RECOMMENDS THAT YOU VOTE FOR THE ELECTION OF THE ABOVE NAMED
DIRECTOR.
EXECUTIVE
OFFICERS
The
following table and text set forth the names and ages of Emazing Interactive
Corporation's executive officers as of November 8, 2008. A brief description of
our executive officer and an indication of the directorships, if any, he held in
other companies subject to the reporting requirements under the Federal
securities laws is provided above within Proposal 1.
Name Age Position
Edward
Hancock 22 Chief
Executive Officer, Chief
Financial Officer, President,
Secretary and Director
Served since April 2006
GOVERNANCE
OF EMAZING INTERACTIVE, INC.
Due to
our lack of operations and size, we have not designated an Audit Committee.
Furthermore, we are currently quoted on the OTC Bulletin Board, which is
sponsored by the NASD, under the symbol "EMZGE.OB" and the OTCBB does not have
any listing requirements mandating the establishment of any particular
committees. Our board of directors acts as our Audit Committee and performs
equivalent functions, such as: recommending a firm of independent certified
public accountants to audit the annual financial statements; reviewing the
independent auditors independence, the financial statements and their audit
report; and reviewing management's administration of the system of internal
accounting controls. For these same reasons, we did not have any other separate
committees during fiscal year ended December 31, 2007; all functions of a
nominating committee, audit committee and compensation committee are currently
performed by our director.
Our Board
believes that, considering our size and the members of our Board, decisions
relating to director nominations can be made on a case-by-case basis by all
members of the board without the formality of a nominating committee or a
nominating committee charter. To date, we have not engaged third parties to
identify or evaluate or assist in identifying potential nominees, although we
reserve the right in the future to retain a third party search firm, if
necessary.
The Board
does not have an express policy with regard to the consideration of any director
candidates recommended by shareholders since the Board believes that it can
adequately evaluate any such nominees on a case-by-case basis. The Board will
consider director candidates proposed in accordance with the procedures set
forth below under "Shareholder Proposals for 2008 Annual Meeting," and will
evaluate shareholder-recommended candidates under the same criteria as
internally generated candidates. Although the Board does not currently have any
formal minimum criteria for nominees, substantial relevant business and industry
experience would generally be considered important, as would the ability to
attend and prepare for board, committee and shareholder meetings. Any candidate
must state in advance his or her willingness and interest in serving on the
board of directors.
We have
not received any recommendations for a director nominee from any
shareholder.
Financial
Expert
We do not
have a qualified financial expert at this time because we have not been able to
hire a qualified candidate and because we do not have the financial resources to
afford such an expert. However, we intend to continue to search for a qualified
individual for hire.
Board
Independence
We only
have one director, who is also our sole executive officer. Accordingly, we do
not have any "independent" directors, as that term is defined in Section 121(A)
of the American Stock Exchange's Listing Standards. Since the OTC Bulletin Board
does not require that a majority of our directors be independent, we are
required to apply the definition of "independent" used by an exchange that does
have such a requirement, such as the American Stock Exchange.
Directors
Attendance at Meetings
During
fiscal year ended December 31, 2007 the Board held four meetings and our
director attended such meeting. Since we do not have separate committees, no
committee meetings were held during fiscal year ended December 31, 2007, but any
such issues were discussed at the Board Meetings.
We intend
to schedule a Board meeting in conjunction with our Annual Meeting and expect
that our director will attend, absent a valid reason, such as a schedule
conflict.
SECTION
16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE
Section
16(a) of the Securities Exchange Act of 1934 requires our directors, executive
officers and any persons who beneficially own more than 10% of our common stock
to send reports of their ownership of shares of common stock and changes in
ownership to us and the SEC. Based on the Company's review of the copies of
these reports received by it, and written representations received from
reporting persons, the Company believes that all filings required to be made by
the reporting persons for the 2007 fiscal year were made on a timely
basis.
CERTAIN
RELATIONSHIPS AND RELATED PARTY TRANSACTION
None.
LEGAL
PROCEEDINGS
We are
not a party to any material legal proceeding and to our knowledge; no such
proceeding is currently contemplated or pending.
STOCKHOLDER
COMMUNICATIONS WITH DIRECTORS
Emazing
Interactive, Inc. stockholders who want to communicate with our Board or any
individual director can write to:
Emazing
Interactive, Inc.
101C N.
Greenville Ave.
Suite
255
Allen,
Texas 75002
Attn:
Board Administration
Your
letter should indicate that you are a Emazing Interactive, Inc. stockholder.
Depending on the subject matter, management will:
* Forward
the communication to the Director or Directors to whom it is
addressed;
* Attempt
to handle the inquiry directly, for example where it is a request for
information about Emazing Interactive, Inc. or it is a stock-related matter;
or
* Not
forward the communication if it is primarily commercial in nature or if it
relates to an improper or irrelevant topic.
At each
Board meeting, a member of management presents a summary of all communications
received since the last meeting that were not forwarded and makes those
communications available to the Directors on request.
EXECUTIVE
AND DIRECTOR COMPENSATION
Our sole
officer and director received $3,232 compensation in 2007 and $4,743 through
September 30, 2008. We do not have a retirement or stock option or bonus plan
for our officers.
INDEPENDENT
PUBLIC ACCOUNTANTS
The Board
reappointed The Hall Group, CPA's (formerly David S. Hall, P.C.) as the
independent accounting firm to audit our financial statements for fiscal year
ended December 31, 2007. The Hall Group, CPA's, as the Company's independent
accounting firm, audited our financial statements for fiscal years ended 2006
and 2007.
Representatives
of The Hall Group, CPA's will not be present at the meeting nor will they be
available during that time to respond to any questions.
AUDIT
FEES
The fees
billed by The Hall Group, CPA's for the indicated services performed during
fiscal year ended December 31, 2007 were as follows:
Calendar
2007
|
|
|
Audit
fees |
|
$7,000 |
|
Audit-related
fees |
|
$0 |
|
Review
fees |
|
$6,000 |
|
Tax
Fees |
|
$0 |
|
All other
fees |
|
$0 |
|
The
amounts shown for "Review fees" were for reviews of our financial
statements for fiscal year ended December 31, 2007 in which they did not audit
or issue any report and consultations regarding generally accepted accounting
principles.
Our Board
of Directors must pre-approve all auditing services and permitted non-audit
services (including the fees and terms thereof) to be performed for Emazing
Interactive, Inc. by its independent auditors, subject to the de
minimus
exceptions for non-audit services described in Section 10A(i)(1)(B) of the
Securities Exchange Act of 1934, which should nonetheless be approved by our
Board prior to the completion of the audit. Each year the independent auditor's
retention to audit our financial statements, including the associated fee, is
approved by the Board before the filing of the previous year's annual report on
Form 10-KSB. At the beginning of the fiscal year, the Board will evaluate other
known potential engagements of the independent auditor, including the scope of
work proposed to be performed and the proposed fees, and approve or reject each
service, taking into account whether the services are permissible under
applicable law and the possible impact of each non-audit service on the
independent auditor's independence from management. At each subsequent Board
meeting, the auditor and management may present subsequent services for
approval. Typically, these would be services such as due diligence for an
acquisition, that would not have been known at the beginning of the
year.
Since May
6, 2003, the effective date of the Securities and Exchange Commission rules
stating that an auditor is not independent of an audit client if the services it
provides to the client are not appropriately approved, each new engagement of
The Hall Group CPA,s has been approved in advance by the Board, and none of
those engagements made use of the de minimus exception to pre-approval contained
in Section 10A(i)(1)(B) of the Securities Exchange Act of 1934.
BENEFICIAL
OWNERSHIP OF EMAZING INTERACTIVE, INC. COMMON STOCK
BENEFICIAL
OWNERS OF MORE THAN 5% OF OUR COMMON STOCK
The
following table sets forth, as of November 14, 2008: (a) the names and addresses
of each beneficial owner of more than five percent (5%) of our Common Stock
beneficially owned by each such person, and the percent of our Common Stock so
owned; and (b) the names and addresses of each director and executive officer,
the number of shares our Common Stock beneficially owned, and the percentage of
our Common Stock so owned, by each such person, and by all of our directors and
executive officers as a group. Each person has sole voting and investment power
with respect to the shares of our Common Stock, except as otherwise indicated.
Beneficial ownership consists of a direct interest in the shares of Common Stock
except as otherwise indicated.
Name and
Address |
|
Amount
and Nature
of Beneficial Ownership
|
|
Percentage of
Voting
Securities(1)
|
|
|
|
|
|
Edward
Hancock
6817
Dalmation Circle
Plano,
Texas 75023
|
|
5,000,000
shares |
|
86.75% |
|
|
|
|
|
All
Directors and officers
as
a group
|
|
5,000,000
shares |
|
86.75% |
(1) All
Percentages have been rounded up to the nearest one hundredth of one
percent.
CHANGES
IN CONTROL
To the
best of our knowledge, there are no arrangements that could cause a change in
our control.
STOCKHOLDER
PROPOSALS FOR THE 2008 ANNUAL MEETING
Any
stockholder who intends to present a proposal at the 2008 Annual Meeting of
Stockholders must ensure that the proposal is received by the Corporate
Secretary of Emazing Interactive, Inc., 101C N. Greenville Ave., Suite 255,
Allen, Texas 75002:
* Not
later than November 21, 2008, if the proposal is submitted for inclusion in our
proxy materials for that meeting pursuant to Rule 14a-8 under the Securities
Exchange Act of 1934; or
FORM
10-K
On April
11, 2007, we filed with the SEC an annual report on Form 10-K for the fiscal
year ended December 31, 2007. A copy of the Form 10-K is incorporated herein by
reference and may be found at http://www.sec.gov/Archives/edgar/data/1376321/000112178108000168/emazing10k123107.txt.
Upon written request to the Company's Secretary, the exhibits set forth on the
exhibit index of the Form 10-K may be made available at reasonable charge (which
will be limited to our reasonable expenses in furnishing such
exhibits).
DOCUMENTS
INCORPORATED BY REFERENCE
In our
filings with the SEC, information is sometimes "incorporated by reference." This
means that we may disclose important information to you by referring you to
another document filed separately with the SEC. The information incorporated by
reference is deemed to be part of this proxy statement, except for any
information that is superseded or modified by information contained directly in
this proxy statement or in any other subsequently filed document that is also
incorporated by reference herein. This proxy statement incorporates by reference
the information set forth below that the Company has previously filed with the
SEC and that is being delivered to you along with this proxy
statement.
The
following information contained in our Annual Report on Form 10-K for the year
ended December 31, 2007, as filed with the Securities and Exchange Commission on
April 11, 2008 (File No. 000-52672) is incorporated by reference
herein:
* Part
II, Item 7. Management's Discussion and Analysis of Financial condition and
Results of Operations
* Part
II, Item 8. Financial Statements and Supplementary Data
* Part
II, Item 9. Changes in and Disagreement with Accountants on Accounting and
Financial Disclosure
The
following information contained in our Quarterly Report on Form 10-Q for the
quarterly period ended March 31, 2008 as filed with the Securities and Exchange
Commission on May 19, 2008 (File No. 000-52672) is incorporated by reference
herein:
* Part I,
Item 1. Financial Statements
* Part I,
Item 2. Management's Discussion and Analysis of Financial condition and Results
of Operations
The
following information contained in our Quarterly Report on Form 10-Q/A for the
quarterly period ended June 30, 2008 as filed with the Securities and Exchange
Commission on August 7, 2008 (File No. 000-52672) is incorporated by reference
herein:
* Part I,
Item 1. Financial Statements
* Part I,
Item 2. Management's Discussion and Analysis of Financial condition and Results
of Operations
The
following information contained in our Quarterly Report on Form 10-Q for the
quarterly period ended September 30, 2008 as filed with the Securities and
Exchange Commission on November 14, 2008 (File No. 000-52672) is incorporated by
reference herein:
* Part I,
Item 1. Financial Statements
* Part I,
Item 2. Management's Discussion and Analysis of Financial condition and Results
of Operations
ADMISSION
TICKET
EMAZING
INTERACTIVE, INC.
1541 E
Interstate 30, Suite 140
Rockwall,
Texas 75087
THIS
ADMISSION TICKET ADMITS ONLY THE NAMED STOCKHOLDER AND A GUEST.
NOTE:
If you
plan on attending the Annual Meeting in person, please bring, in addition to
this admission ticket, a proper form of identification. Video, still photography
and recording devices are not permitted at the Annual Meeting. For the safety of
attendees, all handbags and briefcases are subject to inspection. Your
cooperation is appreciated.
Directions
to Meeting:
From
Dallas:
East on
Interstate 30
Exit 70 /
FM 549
U turn
over the Freeway
Take the
westbound service road one mile
Arrive at
1541 E Interstate 30
PROXY
EMAZING
INTERACTIVE, INC.
101C N.
Greenville Ave.
Suite
255
Allen,
Texas 75002
ANNUAL
MEETING OF SHAREHOLDERS - DECEMBER 29, 2008
THIS
PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS
The
undersigned hereby appoints Edward Hancock, as proxy of the undersigned, with
full power to appoint her substitute, and hereby authorizes her to represent and
to vote all the shares of stock of EMAZING INTERACTIVE, INC. which the
undersigned is entitled to vote, as specified on the reverse side of this card,
at the Annual meeting of Shareholders of EMAZING INTERACTIVE, INC. to be held at
1541 E Interstate 30, Suite 140, Rockwall, Texas 75087, on December 29, 2008 at
8:45 AM and at any adjournment or postponement thereof.
When this
proxy is properly executed, the shares to which this proxy relates will be voted
as specified. If no contrary instruction is indicated for any proposal, the vote
shall be cast in accordance with the recommendation of the Board of Directors.
This proxy authorizes the above designated proxies to vote in their discretion
on such other business as may properly come before the meeting or any
adjournments or postponements thereof to the extent authorized by Rule 14a-4(c)
promulgated under the Securities Exchange Act of 1934, as amended. If you wish
to vote in accordance with the Board of Directors' recommendations, just sign
below. You need not mark any boxes.
This
proxy is solicited on behalf of the Board of Directors of EMAZING INTERACTIVE,
INC.
THE BOARD
OF DIRECTORS UNANIMOUSLY RECOMMENDS THAT YOU VOTE "FOR" EACH OF THE
PROPOSALS.
Please
mark your votes as indicated in this example:
PLEASE
MARK, SIGN, DATE AND RETURN THIS PROXY CARD PROMPTLY BY USING THE
ENCLOSED
ENVELOPE.
1. To
elect Edward Hancock as director.
FOR AGAINST ABSTAIN
[_] [_] [_]
Please
indicate if you intend to attend this meeting [_]
YES [_] NO
If
address has changed, please check the box and indicate your new
address
below [_]
--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
I/We: [
]will attend; [ ]will not attend the meeting.
Signature(s) Date:
________________, 2008
-------------------------------------------------------
-------------------------------------------------------
PLEASE
PRINT YOUR NAME ABOVE
This
proxy must be signed exactly as your name appears hereon. When shares are held
by joint tenants, both should sign. Attorneys, executors, administrators,
trustees and guardians should indicate their capacities. If the signer is a
corporation, please print full corporate name and indicate capacity of the duly
authorized officer executing on behalf of the corporation. If the signer is a
partnership, please print full partnership name and indicate capacity of duly
authorized officer executing on behalf of the partnership.