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L.S.Department of Justice- federal Fxpbnises Licensing t entre F i ur au ul Af.r+tu,i.Tobacco.Firca*rrn Anil Fxpiosites 243 Needs Road 1 cetera,i.aph'aisc,.Li<rnsmg C cow l I 1.C) maninstong..Welt 1 trgtnta Vft' paw nflns telephone:(l1 7i2A3•1t5_ tax- 004 NO-LICE. OF CLEARANCE __fur individuals transporting, shipping, receiving, or possessinexpiosivc materials. -^ ifi5\l,RslliiSit* tedrnllVit.,C.1ne�.epennono 1-SC-16"s3-?L.1f0iSt _ _.___,__ __... ISSUED TO: tittill. NOTICE DATE: 09141.020t'rssanT.out Nip I.;,023 I.-.k.,,.e.I.cnee P nroi T)pc 11.1"SU i:tt t\f1./AItt,S EXPIRATION DATE: ibis Notice espires when superseded by a newer Notice which will Kitt all current responsible pcno+n and toys. e possessors.or when the Ikons or permit expires-sehicheser comes first. __W _ ____—�__� _._v_. O AARNIM:. Olds dont ensile iduals listed Wins asRI\PO\sIBLI.PERSO\S and I-\li'lt)A1I PI)s11ssORsnide abackground clearance status of"CIE ARFD'or"PI\DING"are authorised to transport.ship.wrist.nr pinkest esptusise materials in the.course-of emotes meso yeah ►ort. ® "DE\1F.1)"sI Ali A. It an combo possessor has a background cirarau er status ut"DI.NII U",sou'ills I take immrdiale steps to remise the-implore from a position requiring the transporting.shipping.reerising,or possessing of espiosise materials. Also.if the emplusn has been HMO as a p u rse.n authorised be accept(Misers of csplosnc materials.you Mt s I remise the empk.scc from such list and immediately_and in no (-sent Later than the se-cuud business day after such change.moils distributors of such change,as slated in (IR 555.13tai. O CHANGE I\ RE:SPO\SIBLF I'FRSONs. 1uu Alt%i 1rreml.MAaeo . K: Mr111b01tiSXXDlniE report mos change in responsible persons to the('hire.Federal KwIA\'DOV,!C'.dl:' , t.sotitis is I icensing('enter,within 377 dass nl the change and • nen responsible persons XII s 1 include"appropriate idcntitsing 1 *hall Addrex- information-as defined in.2'(I R 555.11. Fingerprints and FRALEY,FRANKIE SYLVESTER photos are\O1 required.honeser the) nil!be required upon M&M FIREWORKS renenal of the license,or permit. 46775 MOOK MOCK DRIVE 0 ( ii 1NGE OF EMPLOYEES. 1 uu 111!.I report any change NEW LONDON,NC 28127 1 eitempties ea'possessore to the (hid.I EI.C.within Sat days. Reports relating to meets hired rniplo)res must lee submitted on !TI form SatHI._s for t.Atli empio%er. — —___,.. _—_w ---- This'Notice of Clearance'is pros tiled to you as required by 18 U.S.C.833(h l and\1 L.S i he retained as pan of your permanent records and be made available fur examination or inspection by ATF officers as required by 27 CFR 555.121. If you meets a:Sots(-(-subsequent to this Notice,this Notice oil'no longer be valid. In accordance with 2"(.'FR 555.33.Background Checks and Clearances.and 27 CFR 555.57.Change of Control.Change in Responsible Persons.and Change of Employees.ATF',Federal Explosives Licensing Center(FELL')has conducted background cheeks on the individualist you identified as a responsible person and an employee possessor(sI on your application,or reported atter the issuance of your license;permit. The following is a SUMMARY of the results of the background cheeks conducted on the individuals you reported as responsible Nrsons 'a and employee.possessors. ATF will be notifying ALL individuals listed on this document of their respectise status by separate letter mailed to their residence address. PLEASE BE ADVISED THAT ii IS UNLAWFUL FOR ANN*PERSON REFLECTING A STATUS OF"DENIED"TO TRANSPORT.SHIP.RECEIVE.OR POSSFSS EXPLOSIVE 11A1 ERI ALS. i Please carefully review this Notice to ensure that all the information is accurate. If this Notice is incorrect,please return the Notice to the Chief.EL LC.with a statement showing the nature of the enurls). The Chief.FELC.shall correct the error,and return a corrected Notice. Number of RESPONSIBLE PERSON(S) : I continued Number of EMPLOYEE POSSESSOR(S): u. F I AS'I A A\it First Name,?ttaeitiie\aiuc I tearancistraus- i. I ss I \A51F`.nest Name,Middle Name Cleat auce\tains ! -.,'5 POPn IN Dt'ST1P•t[f t'rxcl i RESPONSIBLE PERSONS: I +,.t ROWS.WILLIAMri.5LIt Herod i t.Rn!51,\1111.LEWIS txJ TLsS t isea i• ia ti:;ii.s ISA.XJt51.11'7FR r.;,.rn.; 06th stoats lOGil.\Doi tii 1s t'iaitd EMPLOYEE POSSESSORS: t t to ken m XIB.kN.ii1 Grated f • or:t 11 slat IOW.PfTE R* t...uc: a page 1 of 1