Corporation Ownership Information {17A-33} | Pdf Fpdf Docx | California

 California   Statewide   Board Of Pharmacy 
Corporation Ownership Information {17A-33} | Pdf Fpdf Docx | California

Last updated: 12/10/2024

Corporation Ownership Information {17A-33}

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Description

17A-33 - OWNERSHIP INFORMATION FORM. This form is to be completed by each person (other than a natural person) in the applicant’s ownership structure. Attach additional sheets of paper, if necessary. This form is required for entities applying for a pharmacy license in California. It collects details about the applicant, ownership structure, key individuals such as officers or directors, and the five largest ownership interests. Applicants must disclose any disciplinary actions or violations within the past seven years and provide supporting documents like organizational charts and resolutions. www.FormsWorkflow.com

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