Aervivo Inc (315-010-0059)
| Entity Name: Aervivo Inc |
| HNI Code: 315-010 |
| IBN Code: 0059 |
| Protocol: 5G |
| Other Protocol: None |
| Statement Name: michael Hart |
| Authorized Individual: Michael Hart |
| Authorized Individual Position: CEO |
| Statement Date: None |
| Estimated Service Date: October 1, 2021 |
| GAA: Y |
| PAL: None |
| Reason for no Authorization: None |
| Do special considerations apply, per section 8.4.2 or an addendum? N |
| List of Special Considerations: None |
| Effective Date: September 17, 2021 |
| Deployment Date: None |
| Modification Date: None |
| Return Date: None |
| Approval Status: Approved |
| Book Tab: 2-22 |
| Notes: None |