Laserfiche WebLink
Company Ill Number: 491633 <br />To be accepted as a participant in E Verify, you should only sign the Employer's Section <br />of the signature page. If you have any questions, contact E Verify at 888464-4218. <br />Employer RSN Sports <br />echel[ GoteHi <br />ama.(Please Type or PrintTitle <br />lectronfcall Sl ne <br />0111812012 <br />gnatura <br />ate <br />Department of Homeland Security — Verification Division <br />CIS Verification Division <br />Name (Please Type or Print) <br />Electronically Signed <br />Tiller <br />01M812012 <br />Signature <br />Dato <br />Information Required for the ErVerify Program <br />Information relating to your Company: <br />Company Name: <br />BSN Sports <br />C o"any Fadlity Address: <br />991 Diplomat Dr <br />Farmers Branch, Tat: 75234 <br />Company Alternate <br />Address. <br />County or Parish: <br />DALLAS <br />Employer Identifloatfon <br />Number: <br />22796073 <br />Page 12 of 131 E Veft MOU for Employer I Revision Bate Ei9lWN www.dhs.gov1E Verify <br />BSN SPORTS <br />PO BOX 779-6 <br />DALLAS. TX 75209-0726 <br />