Appendix A to Subpart 68.01 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. 883-1)  


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  • 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. 883-1) Corporation: Name Address 1 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

    The above named corporation fails to qualify as a citizen within the meaning of § 67.39(c) by reason of: 3

    ___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