Provide the details that are available. Fields without an asterisk are optional.
Criminal or civil fraud/deceit offense within ten years? Select an answer Yes No Not sure
Fraud/deceit offense involving liability over one million dollars? Select an answer Yes No Not sure
Convicted and sentenced to more than one year imprisonment? Select an answer Yes No Not sure
Subject to final order of securities, banking, insurance, commodities, or similar regulator? Select an answer Yes No Not sure
Duration of final order penalty
Order based on fraud, manipulation or deception? Select an answer Yes No Not sure
Order prohibits association with regulated entities? Select an answer Yes No Not sure
Order prohibits appearing before regulator? Select an answer Yes No Not sure
Order bars securities, banking or insurance activities? Select an answer Yes No Not sure
Order bars savings association or credit union activities? Select an answer Yes No Not sure
Any illicit trafficking in controlled substances or listed chemicals? Select an answer Yes No Not sure
Espionage, sabotage or intellectual property theft? Select an answer Yes No Not sure
Money laundering activity? Select an answer Yes No Not sure
Terrorist activity? Select an answer Yes No Not sure
Human trafficking or human rights offense? Select an answer Yes No Not sure
Activity under INA 212(a)(3)(E), such as genocide? Select an answer Yes No Not sure
Violation of foreign financial transaction or asset control rules? Select an answer Yes No Not sure
On DOJ List of Currently Disciplined Practitioners in prior ten years? Select an answer Yes No Not sure
State bar discipline involving fraud/deceit in prior ten years? Select an answer Yes No Not sure
Details of any relevant affirmative answer