Get the free Name and Address of Reporting Person* Bertelsen Mark (Last) OMB APPROVAL OMB Number:...

UNITED STATES SECURITIES AND EXCHANGE COMMISSION FORM 4 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b) STATEMENT OF CHANGES IN BENEFICIAL

How to fill out name and address of

How to fill out name and address:

1. Begin by writing your full legal name in the designated space. Make sure to include your first name, middle name (if applicable), and last name. Avoid using nicknames or abbreviations.
2. Next, provide your current residential address. This should include the street name, house or apartment number, city, state, and zip code. Double-check that all the information is accurate and up to date.
3. If necessary, include any additional address details, such as an apartment number or building name. This is important for ensuring proper mail delivery or address verification.
4. When entering the name and address on a form or document, follow any specific instructions or formatting guidelines provided. Some forms may require you to write in uppercase letters, while others may have specific fields for different components of the address.

Who needs name and address:

1. Employers: When applying for a job, employers typically ask for your name and address on the application form or resume. This information helps them contact you and verify your identity.
2. Government Agencies: Various government agencies, such as tax authorities, social security offices, or immigration departments, may require your name and address for official documentation or to provide you with important correspondence.
3. Service Providers: When signing up for utilities, phone services, or any other subscription-based service, you will likely be asked to provide your name and address for billing and service activation purposes.
4. Financial Institutions: Banks, credit card companies, and other financial institutions require your name and address for account opening, verification, and communication purposes.
5. Delivery Services: Online shopping platforms and courier companies require your name and address to ensure accurate and timely delivery of your orders.

Remember, always provide accurate and up-to-date information when filling out your name and address to avoid any potential issues or complications.

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