From: Richard Kahn To: ICatyna Shuliak Subject: Date: Mon, 16 Nov 2015 14:46:15 +0000 Summary of your information Please review the information you are about to submit. If any of the information below is incorrect, you will need to start a new application. Click the "Submit" button at the bottom of the page to receive your EIN. Organization Type: LLC LLC Information Legal name: County: State/Territory: Start date: State/Territory where articles of organization are (or will be) filed: Addresses Physical Location: Phone Number: Responsible Party Name: SSN/ITIN: LSJ DENTAL LLC UNITES STATES VI DECEMBER 2015 VI 6100 RED HOOK QUARTER B3 ST THOMAS VI 00802 KARYNA SHULIAK SOLE MBR XXX-XX Principal Business Activity What your business/organization does: HEALTH CARE Principal products/services: DENTIST Additional LLC Information Owns a 55,000 pounds or greater highway motor vehicle: NO EFTA00573434