Affidavit of Entity Declaration
I. Introduction
This Affidavit of Entity Declaration is a formal statement that provides specific details and verifications about the entity in question. This document is intended to serve as a legally binding declaration of the facts outlined herein.
II. Declarant Information
A. Personal Information
Name: Jackie Tillman
Date of Birth: March 4, 2020
Address: Buffalo, NY 14201
Contact Information: 222 555 7777 | jacki@you.mail
B. Role within the Entity
III. Entity Information
A. General Entity Details
Name of Entity: Impactrun
Type of Entity: Corporation
Date of Incorporation or Formation: March 29, 2050
Registration Number: 2284300
Registered Address: Colorado Springs, CO 80901
B. Nature of Business
Activity 1: Providing comprehensive digital marketing and advertising solutions to businesses.
Activity 2: Designing and implementing customer relationship management (CRM) systems.
Activity 3: Offering analytics-driven consulting services for brand development and market positioning.
IV. Declaration Statements
A. Affirmations
I, Jackie Tillman, hereby declare under penalty of perjury that the following information is true and correct to the best of my knowledge:
The entity is in good standing and complies with all relevant local, state, and federal laws and regulations.
The entity has fulfilled all its tax obligations up to this date.
The information provided in this affidavit is accurate and comprehensive, reflecting the current status of the entity.
B. Additional Statements
All statements made in this affidavit are on the basis of my capacity within the entity as outlined above, and I have the requisite authority to make this declaration on behalf of the entity.
V. Signature
By signing this affidavit, I affirm that all the information contained herein is accurate and truthful to the best of my knowledge and belief.

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