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*sblf I small business lending fund <br /> Small Business Jobs Act Certification <br /> The following information is requested pursuant to Section 4107(d)(2)of the Small Business Jobs Act of 2010. The law <br /> requires an institution to obtain a certification from any business receiving a loan using funds received by the institution <br /> under the Small Business Lending Fund. <br /> Legal Name of Loan Recipient: City of Decatur ("Borrower") <br /> Legal Name of Lending Institution: Busey Bank ("Lender") <br /> As required by Section 4107(d)(2)of the Small Business Jobs Act of 2010, Borrower hereby certifies to Lender that the <br /> principals'of Borrower and its affiliates have not been convicted of,or pleaded nolo contendre to,a sex offense against a <br /> minor(as such terms are defined in section 111 of the Sex Offender Registration and Notification Act(42 U.S.C.16911)). <br /> Legal Name of Loan Recipient: <br /> G 7y 42A' �FG.97�.�' <br /> By: <br /> Authorized Signature <br /> Name: <br /> Title: //rNL�F Q1,47ee74ve <br /> i <br /> I <br /> i <br /> Date: <br /> 'The term"principals"Is defined as follows:if a sole proprietorship,the proprietor;if a partnership,each managing partner <br /> and each partner who is a natural person and holds a 20%or more ownership interest in the partnership;and if a <br /> corporation,limited liability company,association or a development company,each director,each of the five most highly <br /> compensated executives or officers of the entity,and each natural person who is a direct or indirect holder of 20%or more <br /> of the ownership stock or stock equivalent of the entity. <br /> (6J9�11} <br />