Appendix A to Subpart A of Part 68 - Oath for Qualification of Corporation as a Citizen of the United States Under the Act of September 2, 1958 (46 U.S.C. app. 883-1)
46:2.0.1.3.24.1.1.11.2 : Appendix A
Appendix A to Subpart A of Part 68 - Oath for Qualification of
Corporation as a Citizen of the United States Under the Act of
September 2, 1958 (46 U.S.C. app. 883-1) Department of Homeland
Security, U.S. Coast Guard Oath for Qualification of Corporation as
a Citizen of the United States Under the Act of September 2, 1958
(46 U.S.C. app. 883-1) Corporation: Name Address 1
1 Show principal place of business of corporation.
State where incorporated Affiant: Name Address Company Title or
capacity
I, the affiant named above, swear that I am legally authorized
to make this oath on behalf of the corporation, that a majority of
the officers and directors of the above-named corporation are
citizens of the United States, as shown by the attached listing
incorporated in and made a part of this oath which truly and
correctly names all such officers and directors, giving the home
address and citizenship of each; that not less than 90 percent of
the employees of the corporation are residents of the United
States; that the corporation is engaged primarily in a
manufacturing or mineral industry in the United States or in a
territory, district or possession thereof; that the aggregate book
value of the vessels owned by the corporation does not exceed 10
percent of the aggregate book value of the assets of the
corporation; and that the corporation purchases or produces in the
United States, its territories or possessions not less than 75
percent of the raw materials used or sold in its operation. 2
2 Attach the required list of the names of all officers and
directors of the corporation, giving the home address and
citizenship of each.
The above named corporation fails to qualify as a citizen within
the meaning of § 67.39(c) of this chapter by reason of: 3
3 Check appropriate line or lines.
___Non-citizen President ___Non-citizen Chairman of Board
___Failure to meet quorum requirements ___Failure to meet stock
ownership requirements Signature
Subscribed and sworn to before me on the day and year shown
(Notary Public) Date [CGD 80-107, 47 FR 27511, June 24, 1982, as
amended by USCG-2002-13058, 67 FR 61279, Sept. 30, 2002;
USCG-2003-14505, 68 FR 9535, Feb. 28, 2003. Redesignated and
amended by USCG-2007-28098, 71 FR 61418, 61419, Oct. 18, 2006]
Appendix A to Subpart B of Part 68 - Oath for Qualification of a Not-For-Profit Oil Spill Response Cooperative
46:2.0.1.3.24.2.1.8.4 : Appendix A
Appendix A to Subpart B of Part 68 - Oath for Qualification of a
Not-For-Profit Oil Spill Response Cooperative Department of
Homeland Security, U.S. Coast Guard Oath for Qualification of a
Not-For-Profit Oil Spill Response Cooperative [46 U.S.C. 12106(d)]
Cooperative: Name Address Jurisdiction where incorporated or
organized Affiant: Name Address Cooperative Title or Capacity
I, the affiant, swear that I am legally authorized to make this
oath and hold the capacity so bestowed upon me as ____, on behalf
of the _______ cooperative and its members, that it is a
not-for-profit cooperative, and that it is engaged in training for,
carrying out, or supporting oil spill cleanup operations or related
research activities.
That all members of the cooperative who may use the letter of
qualification issued to this cooperative are truly and correctly
named, including home address and citizenship of each on the
attached listing incorporated in and made a part of this oath.
Signature Subscribed and sworn to before me on the day and year
shown. (Notary Public) Date [CGD 90-055, 57 FR 7642, Mar. 3, 1992,
as amended by USCG-2003-14505, 68 FR 9535, Feb. 28, 2003.
Redesignated by USCG-2007-28098, 71 FR 61418, Oct. 18, 2006]