Admin Client || Dee Karawadra

Created On Feb, 06 2024 17:58pm ID #7539 Back

Merchant (Business) DBA Name : Shape n Up

Business Legal Name : Shape n Up Fitness Center, LLC

Contact Name : Chuck Maddox

Contact Phone Number : 205-625-3385

Physical Address : 501 1st Ave East

City : Oneonta

State : AL

Country :

Zip : 35121

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>45-1645333</irs_tax_id_no>
  <ownership_type>LLC</ownership_type>
  <business_incorporated/>
  <business_description>Fitness Center</business_description>
  <mailing_address>PO BOX 881</mailing_address>
  <mailing_city>Oneonta</mailing_city>
  <mailing_state>AL</mailing_state>
  <mailing_zip>35121</mailing_zip>
  <business_phone>205-625-3385</business_phone>
  <contact_first_name>Chuck</contact_first_name>
  <contact_last_name>Maddox</contact_last_name>
  <contact_phone>205-625-3385</contact_phone>
  <location_address>501 1st Ave East</location_address>
  <location_city>Oneonta</location_city>
  <location_state>AL</location_state>
  <location_zip>35121</location_zip>
  <avg_ticket_amount>30.00</avg_ticket_amount>
  <ave_month_volume>2000.00</ave_month_volume>
  <bank_name>Hometown Bank</bank_name>
  <bank_transit_number>062206444</bank_transit_number>
  <bank_dda_no>*****8927</bank_dda_no>
  <gross_vs_net>Net Settlement</gross_vs_net>
  <refund_policy>0</refund_policy>
  <owner1_first_name>Charles</owner1_first_name>
  <owner1_last_name>Maddox</owner1_last_name>
  <owner1_home_address>1220 Hicks Rd</owner1_home_address>
  <owner1_home_city>Oneonta</owner1_home_city>
  <owner1_home_state>AL</owner1_home_state>
  <owner1_home_zip>35121</owner1_home_zip>
  <owner1_home_phone>205-296-3385</owner1_home_phone>
  <owner1_title>Owner</owner1_title>
  <owner1_ownership_perc>100</owner1_ownership_perc>
  <owner1_dob>1962-04-29</owner1_dob>
  <owner1_social_securrity_no>423-88-3026</owner1_social_securrity_no>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number>4588985</owner1_number>
  <owner1_expired>2026-05-04</owner1_expired>
  <owner1_issuer_state>AL</owner1_issuer_state>
  <owner1_issued_date>2022-06-30</owner1_issued_date>
</object>

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