Truth in Testimony Disclosure Form — Richard Coleman, Hearing of June 17, 2020

Summary

This Truth in Testimony Disclosure Form is for witness Richard Coleman, Veterinarian, Small Business Owner, for a Small Business hearing with a Hearing Date of June 17, 2020. The Hearing Subject is PPP Loans and Loan Forgiveness. Under federal grants or contracts, the form lists Federal PPP Loan. The form includes a False Statements Certification citing 18 U.S.C. § 1001.

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Full text

Truth in Testimony Disclosure Form

In accordance with Rule XI, clause 2(g)(5)*, of the Rules of the House of Representatives, witnesses are asked
to disclose the following information. Please complete this form electronically by filling in the provided blanks.

Committee: louse - Small Business A

Subcommittee:

Hearing Date: June 17, 2020

Hearing Subject:

PPP Loans and Loan Forgiveness

Witness Name: Richard Coleman

Position/Title: Veterinarian, Small Business Owner

Witness Type: O Governmental @ Non-governmental
Are you representing yourself or an organization? @ Self © Organization

If you are representing an organization, please list what entity or entities you are representing:

If you are a non-governmental witness, please list any federal grants or contracts (including subgrants or
subcontracts) related to the hearing’s subject matter that you or the organization(s) you represent at this
hearing received in the current calendar year and previous two calendar years. Include the source and
amount of each grant or contract. [f/necessary, attach additional sheet(s) to provide more information.

Federal PPP Loan

If you are a non-governmental witness, please list any contracts or payments originating with a foreign
government and related to the hearing’s subject matter that you or the organization(s) you represent at this
hearing received in the current year and previous two calendar years. Include the amount and country of
origin of each contract or payment. Jf necessary, attach additional sheet(s) to provide more information.

False Statements Certification

Knowingly providing material false information to this committec/subcommittee, or knowingly concealing
material information from this committee/subcommittee, is a crime (18 U.S.C. § 1001). This form will be
made part of the hearing record.

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Witness signature Date

Please attach, when applicable, the following documents to this disclosure. Check the box(es) to
acknowledge that you have done so.

/] Written statement of proposed testimony

Curriculum vitae or biography

*Rule XI, clause 2(g)(5), of the U.S. House of Representatives provides:

(5)(A) Each committee shall, to the greatest extent practicable, require witnesses who appear before it to submit in advance written
statements of proposed testimony and to limit their initial presentations to the committee to brief summaries thereof.

(B) In the case of a witness appearing in a nongovernmental capacity, a written statement of proposed testimony shall include a
curriculum vitae and a disclosure of any Federal grants or contracts, or contracts or payments originating with a foreign government,
received during the current calendar year or either of the two previous calendar years by the witness or by an entity represented by the
witness and related to the subject matter of the hearing.

(C) The disclosure referred to in subdivision (B) shall include—

(i) the amount and source of each Federal grant (or subgrant thereof) or contract (or subcontract thereof) related to the subject
matter of the hearing; and

(ii) the amount and country of origin of any payment or contract related to the subject matter of the hearing originating with a
foreign government.

(D) Such statements, with appropriate redactions to protect the privacy or security of the witness, shall be made publicly available in
electronic form not later than one day after the witness appears.

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hhrg-116-sm00-ttf-colemandvmr-20200617-ff2a896d56cd.pdf

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SHA-256

ff2a896d56cd7e6ad1529d6eb87912f87ca104d832744a42c20cf0147ba18111

Our copy

hhrg-116-sm00-ttf-colemandvmr-20200617-ff2a896d56cd.pdf

Original

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