| Company | BASEFORM, INC. |
|---|---|
| Address | RUA BORGES CARNEIRO, 34-RC, LISBON, 1200-619 |
| Title | President |
| Company | BASEFORM, INC. |
|---|---|
| Address | RUA BORGES CARNEIRO, 34-RC, LISBON, 1200-619 |
| Title | Treasurer |
| Company | BASEFORM, INC. |
|---|---|
| Address | RUA BORGES CARNEIRO, 34-RC, LISBON, 1200-619 |
| Title | Director |