Admin Client || Dee Karawadra

Created On May, 09 2023 11:00am ID #579 Back

Merchant (Business) DBA Name : FACTS-5

Business Legal Name : InfoMAX Inc

Contact Name : Shawn Etie

Contact Phone Number : 337-893-6798

Physical Address : 118 LeBlanc St

City : Abbeville

State : LA

Country : USA

Zip : 70510

Email Address : [email protected]

<?xml version="1.0"?>
<object>
  <sales_number>12232233</sales_number>
  <sales_office/>
  <sales_signing_rep/>
  <irs_tax_id_type/>
  <irs_tax_id_no>72-1421207</irs_tax_id_no>
  <ownership_type/>
  <business_incorporated/>
  <business_description/>
  <mailing_address>118 LeBlanc St</mailing_address>
  <mailing_city>Abbeville</mailing_city>
  <mailing_state>LA</mailing_state>
  <mailing_zip>70510</mailing_zip>
  <business_phone>337-893-6798</business_phone>
  <contact_first_name>Shawn</contact_first_name>
  <contact_last_name>Etie</contact_last_name>
  <contact_phone>337-893-6798</contact_phone>
  <location_address>118 LeBlanc St</location_address>
  <location_city>Abbeville</location_city>
  <location_state>LA</location_state>
  <location_zip>70510</location_zip>
  <avg_ticket_amount>150.00</avg_ticket_amount>
  <ave_month_volume>2,500.00</ave_month_volume>
  <bank_name>Gulf Coast Bank</bank_name>
  <bank_transit_number>065201860</bank_transit_number>
  <bank_dda_no>1039210</bank_dda_no>
  <gross_vs_net/>
  <refund_policy>0</refund_policy>
  <owner1_first_name>Shawn</owner1_first_name>
  <owner1_last_name>Etie</owner1_last_name>
  <owner1_home_address>8919 Oak Creek Ln</owner1_home_address>
  <owner1_home_city>Abbeville</owner1_home_city>
  <owner1_home_state>LA</owner1_home_state>
  <owner1_home_zip>70510</owner1_home_zip>
  <owner1_home_phone>3373442267</owner1_home_phone>
  <owner1_title>owner</owner1_title>
  <owner1_ownership_perc>51</owner1_ownership_perc>
  <owner1_dob>1972-12-16</owner1_dob>
  <owner1_social_securrity_no/>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number>005884078</owner1_number>
  <owner1_expired>2023-12-16</owner1_expired>
  <owner1_issuer_state>LA</owner1_issuer_state>
  <owner1_issued_date>2020-11-19</owner1_issued_date>
  <beneficiary2_first_name>Shawn</beneficiary2_first_name>
  <beneficiary2_last_name>Etie</beneficiary2_last_name>
  <beneficiary2_home_address>8919 Oak Creek Ln</beneficiary2_home_address>
  <beneficiary2_home_city>Abbeville</beneficiary2_home_city>
  <beneficiary2_home_state>LA</beneficiary2_home_state>
  <beneficiary2_home_zip>70510</beneficiary2_home_zip>
  <beneficiary2_home_phone>3373442267</beneficiary2_home_phone>
  <beneficiary2_title>owner</beneficiary2_title>
  <beneficiary2_ownership_perc>51</beneficiary2_ownership_perc>
  <beneficiary2_dob>1972-12-16</beneficiary2_dob>
  <beneficiary2_social_securrity_no/>
  <beneficiary2_form_of_id>Drivers License</beneficiary2_form_of_id>
  <beneficiary2_number>005884078</beneficiary2_number>
  <beneficiary2_expired>2023-12-16</beneficiary2_expired>
  <beneficiary2_issuer_state>LA</beneficiary2_issuer_state>
  <beneficiary2_issued_date>2020-11-19</beneficiary2_issued_date>
</object>

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