&2//(&7,21 $*(1&< &+(&./,67 - sos.nebraska.gov · scratch services, llc...
TRANSCRIPT
If Branch Office Certificates is Checked, please indicate the # of Branches:
If Solicitor is Checked, please indicate the # of Solicitors:
COLLECTION AGENCY CHECKLISTAPPLICATION CHECKLIST FOR:
1. All forms were submitted for application
2. All licensing fees deposited
(Make sure the check has passed through the bank before licensing the agency)
First Name Last Name
Agency NameSCRATCH SERVICES, LLC
Application
List of 10 customers (out of state licensees)(MUST include a full address for each client listed)
Financial Statement
Officer's Interrogatory (must provide a list to verify)
Three personal reference letters (individual - partnership applicants only)
Branch Office Certificates
1
Oath of Application - make sure signed
List of other state licenses and agencies issuing license
Solicitor
9
Amount$459.00
Receipt #
Page 1 of 3SOS Licensing Checklist - Collection Agency
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Authorized to do business in State:
Copy of Articles of Incorporation/Organization Included:
3. Bond Submitted
4. Agency Information
*** Run credit reports for individual and partnership applicants ***
Yes No
Bond NumberSU1152014
Bond Amount$15,000.00
Bond Expiration Date12/31/2020
Bond ProviderARCH INSURANCE COMPANY
Agency TypeLLC
Yes No
Yes No N/A
Page 2 of 3SOS Licensing Checklist - Collection Agency
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5. Financial Checklist
A. Requirements (return to applicant for further information or correction if allitems not checked)
B. Additional Information Needed (ask applicant for more information if any of theseitems are checked)
Notes/Comments
Name: SCRATCH SERVICES, LLC
Date stated in “Financial condition as of” section must be completed and less than 6 months old at the time of submission
Client funds in trust account (unless new business)
Trust account balance is equal to or exceeds amount listed in accounts payable to clients
Total liabilities and net worth match total assets
Average monthly income and expense completed (unless new business)
Financial institutions completed
Any Lawsuits pending or judgments entered completed
No amount listed in accounts receivable from clients (other than new business)
No cash on hand or in checking account
Applicant answered “yes” to any of the additional information questions at the bottom of the form, but did not provide any supplementary information
Cash on hand or in savings or checking accounts plus liquid assets is less than $10,000
Total assets less than $20,000
Page 3 of 3SOS Licensing Checklist - Collection Agency
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52%(57�%��(91(16ecretary of State
State Capitol�����1�6WUHHW��6XLWH����Lincoln, NE 6850�
NEBRASKA COLLECTION AGENCY BOARD INITIAL COLLECTION AGENCY LICENSE APPLICATION
Please complete the following questions. If additional space is needed for any question, you may attach a separate sheet to the application. The investigation fee of $200.00 and the license fee of $200.00 must be paid when the application is submitted. The investigation fee is non-refundable.
Date ____________________________ Applicant is a(n): Individual ____ Partnership ____ LLC ____ Corporation ____
Agency Name ______________________________________________________________________________________
Agency Owner(s)____________________________________________________________________________________(List all owners holding shares or ownership interests in the agency along with the percentage of interest held)
Business Street Address ___________________________________________________________________________________
Telephone No. _____________________________________ Fax No. _____________________________________
Licensing Contact Person _________________________________Telephone No. _______________ Email Address____________________
Complaint Contact Person _________________________________Telephone No._______________ Email Address____________________
Nebraska Office Street Address _____________________________________________________________________________(Out of state agencies must have a Nebraska Office Address – Refer to Chapter 10 of the Rules and Regulations)
Telephone No. __________________________________ Contact Person _____________________________________
1. Discuss in brief your business history, organizational structure, type of collection related business engaged in (or to be engaged in, if not yetactive) and if you have been in business prior to this application or have ever held a Nebraska Collection Agency License.
2. Does your business handle accounts and money? ____ yes ____ no
3. If licensed, have you ever had any disciplinary action by an agency or board? ____ yes ____ no If yes, explain on a separate sheet.
4. Will the business use any additional names for the collection agency? ____ yes ____ no If yes, list on a separate sheet. (Includingregistered trade names).
5. Applicants who are corporations or limited liability companies: please list on a separate sheet the names and resident addresses of thepresident, vice president, secretary, treasurer and other officers having a right to participate in the management of the collection agency.
6. Applicants licensed in another state: attach a listing of the states and the agencies issuing the license.
7. Out of state applicants already doing business outside Nebraska: please list ten (10) customers showing their names, completeaddresses, and telephone numbers for reference purposes on the attached sheet.
8. Individual or Partnership applicants must provide three (3) letters of personal reference (each).
06/26/2020
Scratch Services, LLC
Scratch PHX, Inc. (100%)
375 Alabama Street, Suite 360, San Francisco CA 94110
(415) 651-2587 N/A
Jessica Lokumkiattikul (415) 651-2587 [email protected]
Jenna DeBrincat (415) 651-2587 [email protected]
301 South 13th Street, Suite 500, Lincoln, NE 68508
402 437-8500 James Overcash
Please see Attachment A.
Scratch Services, LLC ('Scratch') currently holds a Nebraska Collection Agency License (No.1293). However, due to achange in Scratch's parent company, we have been advised by the Secretary of State's Office to submit a new applicationfor a Nebraska Collection Agency License.
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4
Attachment A — Discuss in brief your business history, organizational structure, type of collection related business engaged in (or to be engaged in, if not yet active) and if you have been in business prior to this application or have ever held a Nebraska Collection Agency License. Scratch Services, LLC ('Scratch') is a modern-day loan servicer founded in 2015 and services a number of different loan types and asset classes across the United States, including private student loans, secured and unsecured consumer loans, small business loans and construction finance loans. Scratch is a limited liability company and is a wholly-owned subsidiary of Scratch PHX, Inc. With this license and in accordance with applicable laws, Scratch intends to send collections communications (letters, email, and SMS) to, and to call, Nevada borrowers whose loans we service to the extent the borrower is delinquent on their loan. Scratch currently holds a Nebraska Collection Agency License (No.1293). However, due to a change in Scratch's parent company, we have been advised by the Secretary of State's Office to submit a new application for a Nebraska Collection Agency License.
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Attachment B — Officers and control persons of Scratch Services, LLC
Title Name Address
Chief Executive Officer and President
Sameh Elamawy 418 Linden Street San Francisco California 94102
Chief Technology Officer Yash Kumar 1595 Treat Avenue San Francisco California 94110
Chief Operating Officer Alexis Zhu 1 Polk Street, Unit 2003 San Francisco California 94102
7
OFFICERS' INTERROGATORY
This interrogatory must be completed by each officer or other individual having a right to participate in the management of the applicant's business in the State of Nebraska. If additional forms are needed, copies may be made.
_____________________________________________________________ Name of Officer ___________________________________
Title ______________________________________________________________________________________________________ Residence Address, City, State, Zip
List the places where you have been engaged in any kind of business or vocation accounting for the entire period since you left school or college. If additional space is needed, attach a separate sheet to application.
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held ____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held ____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held ____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held _____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held _____________________________________________________ From ____________ To ____________
page 1
Sameh Elamawy Chief Executive Officer
418 Linden St. San Francisco, CA 94102
Loan Servicing
375 Alabama St. Suite 360 San Francisco, CA 94110
Founder/Chief Executive Officer 09/2015 Present
Computer Software
Dropbox
185 Berry St. Suite 400 San Francisco, CA 94107
Founder & Chief Executive Officer 10/2014 09/2015
Application Software
MoveTogether
180 Sansome St. San Francisco, CA 94104
Founder & Chief Executive Officer 06/2012 10/2014
Accounting
Booz & Co (now Pricewaterhouse Cooper)
Tower 1 Sheikh Zayed Rd. Dubai, UAE
Summer Associate 06/2011 08/2011
Proctor & Gamble
Cairo Festival City Bldg. 14D06 5th District, New Cairo, Egypt
Global Product & Initiative Manager 01/2005 09/2010
Scratch Services, Inc & Scratch Services, LLC
Consumer goods
Scratch Services, LLC and Scratch Services, Inc.
Attachment
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page 2
Have you ever been engaged in any kind of collection agency work? _____ yes _____ no If so, how long? _____________
Describe position ________________________________________________________________________________________
Have you ever been licensed in any other state as an owner, manager, or solicitor of a collection agency? _____ yes _____ no
If so, where? __________________________________________________________ When? __________________________
Has your application for a license as an owner, manager, or solicitor of a collection agency ever been rejected in any other state? _____ yes _____ no If so, explain giving exact dates, places, parties involved, and full details on a separate sheet.
Has your license as an owner, manager, or solicitor of a collection agency ever been revoked or suspended in any other state? _____ yes _____ no If so, explain giving exact dates, places, parties involved, and full details on a separate sheet.
Have you ever been convicted of any criminal offense or is there any criminal charge against you now pending (other than minor traffic violations)? _____ yes _____ no If so, explain giving exact dates, places, parties involved, and full details on a separate sheet.
Have you been convicted of fraud in any court within the past five years? _____ yes _____ no If so, explain giving exact dates, places, parties involved, and full details on a separate sheet.
Has there been any judgment entered against you for failure to account to your client money or property for such client or customer in the last five years? _____ yes _____ no If so, explain giving exact dates, places, parties involved, and full details on a separate sheet.
Have you read and do you understand the provisions of the Collection Agency Licensing Act? _____ yes _____ no
List the names and addresses of three people unrelated to you who can attest to your reputation for honesty and fair dealings.
Name __________________________________________________________________________________________________
Address _________________________________________________________________________________________________
Name __________________________________________________________________________________________________
Address _________________________________________________________________________________________________
Name __________________________________________________________________________________________________
Address _________________________________________________________________________________________________
AUTHORIZATION FOR RELEASE OF INFORMATION
I hereby authorize the Secretary of State as Chairman of the Nebraska Collection Agency Board to investigate and verify any information contained in my collection agency application or any other information relevant to my qualifications for licensure.
____________________________________________________ __ ______________________ Signature Social Security Number * (optional)
*Failure to disclose your social security number will not affect your license application, but will be used by the Board to assist inverifying background information provided, including credit history checks. The number is being requested under Nebr. RevisedStatute 45-607 which lists qualifications and disqualification’s for licensees and officers, and in accordance with previous CollectionAgency Licensing Board practice.
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Sunny Rochiramani
1800 Owens St. San Francisco, CA 94158
Ilya Fushman
101 S. Park St. San Francisco, CA 94107
Jay Schneider
1 Embarcadero Center St. 1120, San Francisco CA 94111
XSee over page See over page
9
Attachment to Officer Interrogatory of Sameh Elamawy
Additional information in respect of question: “Have you ever been licensed in any other state as an owner, manager, or solicitor of a collection agency?” ‘If so, where?” “If so, when?”
Sameh Elamawy does not hold any individual licenses in his own name in connection with collection agency activities.
Sameh Elamawy is listed as a Manager / Designated Individual under the following collection agency licenses held by Scratch Services, LLC:
Where When
Alaska Collection Agency License Present
Arizona Collection Agency License Present
Maryland Collection Agency License Present
North Dakota Collection Agency License Present
Oregon Collection Agency Registration Present
10
OFFICERS' INTERROGATORY
This interrogatory must be completed by each officer or other individual having a right to participate in the management of the applicant's business in the State of Nebraska. If additional forms are needed, copies may be made.
_____________________________________________________________ ___________________________________Name of Officer Title
______________________________________________________________________________________________________ Residence Address, City, State, Zip
List the places where you have been engaged in any kind of business or vocation accounting for the entire period since you left school or college. If additional space is needed, attach a separate sheet to application.
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held ____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held ____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held ____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held _____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held _____________________________________________________ From ____________ To ____________
page 1
03/2018
Loan Servicing
UBS Invesetment Bank
Summit Partners
Affirm, Inc.
Dote, Inc.
Investment Banking
Venture Capitalist & Private Equity
Computer Software
06/2010
05/2013
05/2017
11/2017VP, Partnerships and Operations
Head of Strategic Brands
Associate, Healthcare Private Equity Team
Analyst, Global Healthcare Investment Banking Team
1 Polk St. San Francisco, CA 94102
Head of Growth, COO of Scratch Services, LLC
Alexis Zhu
515 Alabama St. San Francisco, CA 94110
Chief Operating Officer
650 California St. San Francisco, CA 94108
200 Middlefield Rd. Suite 200 Menlo Park, CA 94205
299 Park Ave. New York, NY 10166
Financial Services
07/2008
07/2010
Scratch Services, Inc
05/2013
05/2017
375 Alabama St. Suite 360
Current
Scratch Services, LLC & Scratch Services, Inc.and Scratch Services, Inc.
11
page 2
Have you ever been engaged in any kind of collection agency work? _____ yes _____ no If so, how long? _____________
Describe position ________________________________________________________________________________________
Have you ever been licensed in any other state as an owner, manager, or solicitor of a collection agency? _____ yes _____ no
If so, where? __________________________________________________________ When? __________________________
Has your application for a license as an owner, manager, or solicitor of a collection agency ever been rejected in any other state? _____ yes _____ no If so, explain giving exact dates, places, parties involved, and full details on a separate sheet.
Has your license as an owner, manager, or solicitor of a collection agency ever been revoked or suspended in any other state? _____ yes _____ no If so, explain giving exact dates, places, parties involved, and full details on a separate sheet.
Have you ever been convicted of any criminal offense or is there any criminal charge against you now pending (other than minor traffic violations)? _____ yes _____ no If so, explain giving exact dates, places, parties involved, and full details on a separate sheet.
Have you been convicted of fraud in any court within the past five years? _____ yes _____ no If so, explain giving exact dates, places, parties involved, and full details on a separate sheet.
Has there been any judgment entered against you for failure to account to your client money or property for such client or customer in the last five years? _____ yes _____ no If so, explain giving exact dates, places, parties involved, and full details on a separate sheet.
Have you read and do you understand the provisions of the Collection Agency Licensing Act? _____ yes _____ no
List the names and addresses of three people unrelated to you who can attest to your reputation for honesty and fair dealings.
Name __________________________________________________________________________________________________
Address _________________________________________________________________________________________________
Name __________________________________________________________________________________________________
Address _________________________________________________________________________________________________
Name __________________________________________________________________________________________________
Address _________________________________________________________________________________________________
AUTHORIZATION FOR RELEASE OF INFORMATION
I hereby authorize the Secretary of State as Chairman of the Nebraska Collection Agency Board to investigate and verify any information contained in my collection agency application or any other information relevant to my qualifications for licensure.
____________________________________________________ Signature
*Failure to disclose your social security number will not affect your license application, but will be used by the Board to assist inverifying background information provided, including credit history checks. The number is being requested under Nebr. RevisedStatute 45-607 which lists qualifications and disqualification’s for licensees and officers, and in accordance with previous CollectionAgency Licensing Board practice.
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_______ Social Security Number * (optional)
Amir Malayery
30 Hotaling Pl 3rd Floor, San Francisco, CA 94111
Rob Pfeifer
301 Howard Street, San Francisco, CA 94105
Michelle Yam
949 Fell Street, San Francisco, CA 94117
x
x
x
x
x
x
x
x
12
OFFICERS' INTERROGATORY
This interrogatory must be completed by each officer or other individual having a right to participate in the management of the applicant's business in the State of Nebraska. If additional forms are needed, copies may be made.
_____________________________________________________________ ___________________________________ Name of Officer Title ______________________________________________________________________________________________________ Residence Address, City, State, Zip
List the places where you have been engaged in any kind of business or vocation accounting for the entire period since you left school or college. If additional space is needed, attach a separate sheet to application.
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held ____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held ____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held ____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held _____________________________________________________ From ____________ To ____________
Nature of Business ______________________________________________________________________________________
Employer ______________________________________________________________________________________________
Address ________________________________________________________________________________________________
Position held _____________________________________________________ From ____________ To ____________
page 1
Scratch Services, LLC & Scratch Platform, LLC
Yash Kumar Chief Technology Officer
1595 Treat Ave. San Francisco, CA 94110
Loan Servicing
375 Alabama St. Suite 360 San Francisco, CA 94110
CTO, of Scratch Services, LLC 10/2019 Present
Computer Software
1600 Amphitheatre Parkway, Mountain View, CA 94043
Engineering Leader 11/2011 10/2019
and Scratch Platform, LLCScratch Services, LLC and Scratch Platform, LLC
Chief Technology Officer of Scratch Services, LLC
Scratch Platform, LLC
13
Ajay Somani
145 4th Ave #9p, New York, NY 10003
Akhil Ravidas
3223 Thatcher Ave, Venice, CA 90292
Dhruv Amin
3521 20th Street San Francisco CA 94110
14
List of 10 Customers for Reference
Customer Name Customer Address Contact Person & Phone Number
1. ______________________________ ___________________________ ________________________ ______________________________ ___________________________ ________________________
2. ______________________________ ___________________________ ________________________ ______________________________ ___________________________ ________________________
3. ______________________________ ___________________________ ________________________ ______________________________ ___________________________ ________________________
4. ______________________________ ___________________________ ________________________ ______________________________ ___________________________ ________________________
5. ______________________________ ___________________________ ________________________ ______________________________ ___________________________ ________________________
6. ______________________________ ___________________________ ________________________ ______________________________ ___________________________ ________________________
7. ______________________________ ___________________________ ________________________ ______________________________ ___________________________ ________________________
8. ______________________________ ___________________________ ________________________ ______________________________ ___________________________ ________________________
9. ______________________________ ___________________________ ________________________ ______________________________ ___________________________ ________________________
10. ______________________________ ___________________________ ________________________ ______________________________ ___________________________ ________________________
Meritize Lending, LLC 5757 Main St. #207 Frisco, TX 75034 Jim Hensley
917 833-637-4800
OneBlinc, LLC 201 S. Biscayne Blvd. #1200 Gilberto Hackl
Miami, FL 33131 519-501-7422
Funding-University, Inc. 1447 Peachtree St. NE Jessica Dyer
Atlanta, GA 30309 855-537-5457
BlockFi Lending, LLC 150 Broadway, 19th Fl Amit Cheela
New York, NY 10038 847-881-6345
Sky Bridge Financial, LLC 6200 Tennyson Pkwy. #150 Danielle Bush
Plano, TX 75024
Doc2Doc Lending, Inc. 918 Peachtree Battle Cl. Rachel Allen
Atlanta, GA 30327 802-299-8564
Wisetack, Inc 38 Bluxome St. San Francisco 917-565-0237
CA, 94107
CommonBond Lending, LLC 524 Broadway 6th fl. Robb Granado
New York, NY 10012
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Licenses in other states
Scratch Services, LLC (‘Scratch’) is licensed to service loans in states across the United States and in D.C., including small business loans, secured and unsecured consumer loans, private student loans, construction finance loans, equipment financing loans, and debt consolidation loans.
Scratch has licenses with various regulatory agencies according to the jurisdictions in which our borrowers are located, the type of loans we service and the servicing activities for which a license is required in that jurisdiction. The licenses Scratch holds include collection agency licenses, consumer loan licenses, business licenses, student loan licenses, mortgage servicer licenses and others.
Given the number and variety of licenses and issuing agencies, it is not practical for us to list all states and agencies that issue licenses to Scratch. However, we have included a list of collection agency licenses issued to Scratch in the form requested, in the following pages.
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Current Licenses Held by Applicant
State or Jurisdiction Issued by License # Date Originally Issued 1. _____________________ ________________________ ____________ ____________________ 2. _____________________ ________________________ ____________ ____________________ 3. _____________________ ________________________ ____________ ____________________ 4. _____________________ ________________________ ____________ ____________________ 5. _____________________ ________________________ ____________ ____________________ 6. _____________________ ________________________ ____________ ____________________ 7. _____________________ ________________________ ____________ ____________________ 8. _____________________ ________________________ ____________ ____________________ 9. _____________________ ________________________ ____________ ____________________ 10._____________________ ________________________ ____________ ____________________
(attach additional pages if needed)
Alaska State of Alaska Dept of Commerce, Community, & Economic Development Div of Corp, Business & Professional Licensing113862 6/30/19
Alaska State of Alaska Dept of Commerce, Community, & Economic Development Div of Corp, Business & Professional Licensing131280 6/30/19
Arkansas Arkansas State Board of Collection Agencies5425 6/30/19
Arizona Arizona Dept of Financial Institutions 0943974 9/13/2017
Florida Florida Office of Financial RegulationsCCA9903847 12/31/18
Hawaii Hawaii Dept of Commerce & Consumer Affairs, Professional & Vocational Licensing Div.COLAX-1017 1/31/19
Idaho Idaho Department of Finance CCA-9816 1/24/2018
Iowa Iowa Office of the Attorney General523007 1/31/19
Kansas Kansas Office of State Bank CommissionerNOT.0026518 4/30/19
Louisiana Louisiana Secretary of State 42268386I 5/13/2016
Page 1
5/13/16
5/1/20
Date originally issued**Where original issue date unavailable, we have included date license last renewed.
*
State of Alaska Department of Commerce
State of Alaska Department of Commerce
Arkansas State Board of Collection Agencies
Arizona Department of Financial Institutions
Florida Office of Financial Regulation
Hawaii Department of Commerce and Consumer Affairs
Office of the Attorney General
Kansas Office of State Bank Commissioner
17
Current Licenses Held by Applicant
State or Jurisdiction Issued by License # Date Originally Issued
_____________________ ________________________ ____________ ____________________ 2. _____________________ ________________________ ____________ ____________________ 3. _____________________ ________________________ ____________ ____________________
_____________________ ________________________ ____________ ____________________ 5. _____________________ ________________________ ____________ ____________________ 6. _____________________ ________________________ ____________ ____________________ 7. _____________________ ________________________ ____________ ____________________ 8. _____________________ ________________________ ____________ ____________________ 9. _____________________ ________________________ ____________ ____________________ 10._____________________ ________________________ ____________ ____________________
(attach additional pages if needed)
12/31/18
Maryland Maryland Department of Labor 04-7429 9/14/2016
New Jersey New Jersey Treasury Division of Revenue & Enteprise Services15511 6/7/19
New York-Buffalo New York City of Buffalo Office of LicensesCAG16-10037515 9/30/20
New York-New York City NYC Dept of Consumer & Worker Protection2056475-DCA 1/31/20
North Dakota North Dakota Dept of Financial InstitutionsCA103020
Oregon Oregon Division of Financial Regulation50165 9/16/2016
Tennessee Tennessee Dept. of Commerce & Insurance2395 5/5/19
Texas Texas Secretary of State 20180099 5/4/19
Utah Utah Dept of Commerce, Division of Corp & Commercial Code9809756-0131 6/7/19
Washington Washington State Dept of Revenue60430332600100016/30/19
7/28/2016
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15.
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Page 2
5/6/20
Date originally issued**Where original issue date unavailable, we have included date license last renewed.
*
New Jersey Division of Taxation
New York City of Buffalo Collection Agency License
New York City Department of Consumer and Worker Protection
North Dakota Department of Financial Institutions
Oregon Division of Financial Regulation
Utah Dept of Commerce Division of Corporations
Washington State Department of Revenue
18
Current Licenses Held by Applicant
State or Jurisdiction Issued by License # Date Originally Issued
_____________________ ________________________ ____________ ____________________ 2. _____________________ ________________________ ____________ ____________________ 3. _____________________ ________________________ ____________ ____________________ 4. _____________________ ________________________ ____________ ____________________ 5. _____________________ ________________________ ____________ ____________________ 6. _____________________ ________________________ ____________ ____________________ 7. _____________________ ________________________ ____________ ____________________ 8. _____________________ ________________________ ____________ ____________________
9. _____________________ ________________________ ____________ ____________________ 10._____________________ ________________________ ____________ ____________________
(attach additional pages if needed)
**Note**Perpetual license, have asked regulator to confirm issue date; pending response
21.
Page 3
Date originally issued**Where original issue date unavailable, we have included date license last renewed.
West Virgina West Virginia State Tax Dept 2332-6727 6/1/20
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______________________________________
______________________________________
NEBRASKA COLLECTION AGENCY BOARD PERSONAL/CORPORATE FINANCIAL STATEMENT
(This form must be completed) A completed financial statement must be completed for the owner if for a sole proprietorship OR the business entity if for a partnership, corporation, or limited liability company. The information is required so that the Board can properly evaluate the applicants’ ability to qualify for such license. The Board is authorized to make all inquiries deemed necessary to verify the accuracy of the statements made herein to determine the qualification to secure such license.
The following is being submitted by ________________________________________(name and title) as a true and accurate statement of financial condition of ________________________________________(name of applicant) on __________, 20____. (Must be no more than 6 months old)
Type of Business: Individual ___ Partnership ___ LLC ___ Corporation ___
ASSETS, LIABILITIES AND NET WORTH
ASSETS: Current Assets:
Cash on hand
Cash in Bank (Itemize) (a) Trust Account (Client Funds) (b) Operating Account (c) Other Bank Accounts
Accounts Receivable a) Clients b) Other
Notes Receivable
Other (Itemize) __________$__________ __________$__________
TOTAL CURRENT ASSETS Fixed Assets:
Furniture, Fixtures, etc.
Real Estate
Other (Itemize) __________$__________ __________$__________
TOTAL FIXED ASSETS
LIABILITIES & NET WORTH: Accounts Payable
a) Clients b) Other
Taxes Payable (Itemize) __________$__________ __________$__________ __________$__________
Real Estate Mortgages payable to:
Notes Payable to Banks a) Secured b) Unsecured
Notes Payable to Other - Specify:
TOTAL ASSETS
(omit cents)
$__________
$__________ $__________ $__________
$__________ $__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________
$__________ $__________
$__________
$__________
$__________ $__________
$__________
Sameh Elamawy, Chief Executive OfficerScratch Services, LLC March 31 20
8850821661251373
149503107710
1030000Restricted Cash1030000
2240280
2240280
88252389118
Intercompany Balance 1031502
20
Other Liabilities (Itemize) __________$__________ __________$__________ __________$__________
NET WORTH: Investment/Capital Stock
Surplus
Retained Earnings
TOTAL NET WORTH
INCOME AND OPERATING EXPENSES Average Monthly Income (average over past 6 months) $__________
Average Monthly Expenses (average over past 6 months) $__________
TOTAL LIABILITIES
TOTAL LIABILITIES & NET WORTH
$__________
$__________
$__________
$__________
$__________
$__________
$__________
ADDITIONAL INFORMATION
List the names and addresses of your financial institutions:
1._______________________________________________________________________________________________
2._______________________________________________________________________________________________
3._______________________________________________________________________________________________
4._______________________________________________________________________________________________
Please list and give a brief explanation of all Lawsuits pending or judgments entered against the applicant agency in the last 3 years (attach information if needed)
Does the applicant agency have any debts, obligations, or potential liabilities of the applicant not listed elsewhere on this application _______yes _______ no
Is the applicant an endorser, co-maker/signer or guarantor on an outstanding liability? ______ yes ______ no
Are any assets of the applicant, including stock, pledged or assigned other than those described? ______ yes ______ no
Has the applicant filed bankruptcy in the last 10 years? ______ yes ______ no
If you answered yes to any of the above questions, please attach additional pages and explain in detail, including an estimate of the liability or debt where applicable.
48370Acc.Exp 10889Def. Rev 34687Emp.Ben 2794
2051513
2081000
-1892233
188767
2240280
120153
84073
Wells Fargo Bank, N.A. 420 Montgomery Street, San Francisco, CA 94104
Please see over page.
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Additional information of Scratch Services, LLC — NEBRASKA COLLECTION AGENCY BOARD CORPORATE FINANCIAL STATEMENT Please list and give a brief explanation of all Lawsuits pending or judgments entered against the applicant agency in the last 3 years (attach information if needed)
Scratch Services, LLC (‘Scratch’) has been joined as second defendant in a proceeding initiated by the borrower of one of Scratch's lender customers, being the first defendant. The substance of the dispute underlying the claim is solely as between the plaintiff and the first defendant and it is unclear why Scratch has been joined to the claim or what precise claim is being made against Scratch, who it is suspected was added to the claim in an effort to destroy diversity jurisdiction (given both Scratch and the plaintiff have a physical presence in California; and the loan agreement as between the borrower and lender nominates Delaware as the exclusive jurisdiction for disputes). Given the lack of clarity as to what claims were being made against Scratch, Scratch filed a Notice of Demurrer with the court on June 15, 2020 primarily on the basis that the plaintiff failed to state sufficient facts to constitute a cause of action against Scratch. Scratch also joined the first defendant's motion to stay, or in the alternative, to dismiss, the plaintiff's action on the ground of forum non conveniens. The case is scheduled to be heard on July 24, 2020.
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List of collectors to be licensed Scratch Services, LLC 375 Alabama St. Suite 360 San Francisco, CA 94110 1293 Licensee/Applicant Legal Name Licensee Address Licensee#
Employee First Name
Employee Last Name
Alias First Name
Alias Last Name
Hire Date Term Date Added Change Removed
1. Terry Ramirez Charlie Bryant 2/21/17 N/A Yes
2. Andrew Kotov Tracy N/A 9/3/19 N/A Yes
3. Eric Munoz Angel N/A 7/8/19 N/A Yes
4. Gizelle Fong Joey N/A 7/8/19 N/A Yes
5. Kimmy Ly Rian N/A 4/22/19 N/A Yes
6. Amy Wynn Taylor N/A 3/2/20 N/A Yes
7. Lavelle Loggins Jordan Green 3/19/19 3/26/20 Yes
8. Libby Frauenberger Shawn Mitchell 8/13/18 2/21/20 Yes
9. Chantal Lavdiotis Jessi N/A 10/28/19 2/21/20 Yes
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Attachment J
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Attachment K — Branch office to be licensed Scratch Services, LLC is requesting the following branch office be licensed:
Scratch Services, LLC 375 Alabama Street, Suite 360
San Francisco, CA 94110
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DelawareThe First State
Page 1
5888459 8100 Authentication: 10532024SR# 20151084403 Date: 12-02-15You may verify this certificate online at corp.delaware.gov/authver.shtml
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF FORMATION OF “SCRATCH SERVICES,
LLC”, FILED IN THIS OFFICE ON THE TWENTY-FIFTH DAY OF NOVEMBER,
A.D. 2015, AT 1:32 O`CLOCK P.M.
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Resident Agent details The resident agent of Scratch Services, LLC in Delaware, its state of formation, is: The Corporation Trust Company 1209 Orange St. Wilmington, DE 19801 (302) 658-7581 [email protected]
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