Form 2501-I—General Information (Application for Registration of an Individual as an Athlete Agent) The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney. Commentary Acting as an athlete agent in Texas requires registration with the secretary of state, as provided in Chapter 2051 of the Texas Occupations Code and the secretary of state’s administrative rules found in 1 Texas Administrative Code Chapter 78. Unlike most states, which only allow individuals to register as athlete agents, Texas has two types of athlete agent registrations. An applicant for registration as an athlete agent in Texas may register as either an individual or an entity, as appropriate. The entity registration is intended for registering a formally organized entity, such as a corporation, LLC, partnership, or other legal entity. (A business that is not formally organized as a separate legal “person,” such as a sole proprietorship or individual who does business under a d/b/a, may not obtain an entity registration.) This form is designed for the other type of athlete agent registration—registration as an individual. A registration is valid for one year and may be renewed. Instructions for Form A document on file with the secretary of state is a public record subject to public access and disclosure. When providing address or telephone information, use a business or post office box address rather than a residence address if privacy concerns are an issue. Submission of this application is consent for the secretary of state to conduct a criminal background check on the applicant. Attachments: The following items must be included with the application: 1. Surety bond for $100,000 or financial services affidavit (Form 2502-I or 2503); 2. Statement of individual agents (Form 2504); 3. Separate supplement for each financially interested party (Form 2506-I); and 4. Applicant contact page (Form 2507-I). Execution: The application must be signed by the named applicant. Payment and Delivery Instructions: The filing fee for an athlete agent registration is $1000, plus an additional filing fee of $100 per person for any person named in the Statement of Individual Agents who recruits or solicits an athlete on behalf of the applicant. Fees may be paid by personal checks, money orders, LegalEase debit cards or American Express, Discover, MasterCard, and Visa credit cards. Checks or money orders must be payable through a U.S. bank or financial institution and made payable to the secretary of state. Fees paid by credit card are subject to a statutorily authorized convenience fee of 2.7 percent of the total fees. The completed form and filing fee may be mailed to P.O. Box 13550, Austin, Texas 787113550; or delivered to the James Earl Rudder Office Building, 1019 Brazos, Austin, Texas 78701. The secretary of state will issue a certificate of registration upon filing of a completed and approved application. Revised 05/2011 Form 2501-I 1 American LegalNet, Inc. www.FormsWorkFlow.com Form #2501-I Rev. 05/2011 Submit to: SECRETARY OF STATE Statutory Documents Section P O Box 13550 Austin, TX 78711-3550 512-463-5705 512-475-2815 - Fax Filing Fee: see instructions This space reserved for office use APPLICATION FOR REGISTRATION OF AN INDIVIDUAL AS AN ATHLETE AGENT Applicant Information 1. Name of Individual: 2. Principal Business Address: Street City State Zip Background & Experience 3. Business or occupation for the last five years: 4. Formal training, practical experience, and education related to professional activities as an athlete agent: 5. Name, sport, and last known team for each person the applicant represented as an athlete agent during the last five years: Name Sport Team Name Sport Team Name Sport Team Name Sport Team Name Sport Team USE AN ADDITIONAL SHEET IF NECESSARY Fitness 6. Have you been found guilty of a crime (other than a class C misdemeanor)? Yes No 7. Has there been an administrative or judicial finding that you made a false, misleading, deceptive, or fraudulent representation? Yes No Form 2501-I 2 American LegalNet, Inc. www.FormsWorkFlow.com 8. Have you been sanctioned (including imposition of a fine) or suspended in relation to occupational or professional conduct? Yes No 9. Have you been denied a certificate of registration or license as an athlete agent? Yes No 10. Have you had a certificate of registration or license as an athlete agent suspended? Yes No 11. Have you had a certificate of registration or license as an athlete agent revoked? Yes No 12. Have you engaged in conduct that resulted in the imposition on an athlete or educational institution of a sanction, suspension, or declaration of ineligibility to participate in an interscholastic or intercollegiate athletic event? Yes No 13. If you answered “yes” to any of the above, in the space below you must provide a statement of (i) the nature, circumstances, date, and location, and (ii) whether the matter is on appeal. Also attach copies of court order and sentence, and papers pertaining to release from probation, if applicable. USE AN ADDITIONAL SHEET IF NECESSARY. References Provide the name and address of three professional references. Name: Phone: Address: Street City Name: State Zip State Zip State Zip Phone: Address: Street City Name: Phone: Address: Street City Financially Interested Parties Identify each person with an ownership interest in or right to receive profits from your business. You must complete a “Supplement for Financially Interested Party” for each person identified below Note for applicants who are members of the State Bar of Texas: You must include the name and address of each person who is involved in the activities of the athlete agent, but you are not required to identify members of your firm who are not involved in the athlete agent activities. Name: Address: Street City State Zip Street City State Zip Name: Address: Name: Form 2501-I 3 American LegalNet, Inc. www.FormsWorkFlow.com Address: Street City State Zip Street City State Zip Street City State Zip Name: Address: Name: Address: USE AN ADDITIONAL SHEET IF NECESSARY Attachments The following items must be included with the application: Financial services affidavit (Form 2502-I) or surety bond (Form 2503); Statement of individual agents (Form 2504); Separate supplement for each financially interested party (Form 2506-I); and Applicant contact page (Form 2507-I). Execution Date: Signature of Applicant Printed or typed name Form 2501-I 4 American LegalNet, Inc. www.FormsWorkFlow.com Form 2502-I—General Information (Financial Services Affidavit for an Athlete Agent Registering as an Individual) The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney. Commentary Athlete agents are governed by Chapter 2051 of the Texas Occupations Code and the secretary of state’s administrative rules found in 1 Texas Administrative Code Chapter 78. Acting as an athlete agent in Texas requires registration with the secretary of state. Sections 2051.102–2051.104, Occupations Code and 78.1, Administrative Code, set forth the application requirements for athlete agent registration. Pursuant to sections 2051.151, Occupations Code and 78.31, Administrative Code, an application for registration (Form 2501-I) must be accompanied by either a $100,000 surety bond or an affidavit stating that the applicant has not entered into a financial services contract or provided financial services for an athlete. This form may be used for the financial services affidavit for an applicant that is an individual or sole proprietorship. Submit either Form 2502-I (this form) or Form 2503 (bond form), but not both. Revised 03/11 Form 2502-I 1 American LegalNet, Inc. www.FormsWorkFlow.com Form #2502-I Rev. 03/2011 This space reserved for office use Submit with Application (Form 2501-I) to: SECRETARY OF STATE Statutory Documents Section P O Box 13550 Austin, TX 78711-3550 512-463-5705 FINANCIAL SERVICES 512-475-2815 - Fax AFFIDAVIT FOR AN ATHLETE Filing Fee: None. AGENT REGISTERING AS AN INDIVIDUAL Identifying Information Name of Individual Athlete Agent/Applicant: Statement I, the individual named above, being of sound mind, capable of making this affidavit, personally acquainted with the facts herein, and having been first duly sworn certify that: I have not entered into a financial services contract with an athlete. I have not provided financial services to an athlete, including making and executing investment and other financial decisions for the athlete. I will not enter into a financial services contract or provide financial services to an athlete without first posting a $100,000 surety bond with the Texas secretary of state. As used in this Statement, “financial services contract” and “athlete” have the meanings assigned by sections 2051.001(4) and 2051.001(2), Texas Occupations Code, respectively. Execution Date: Signature of Affiant Printed or typed name State of ) County of ) Sworn to and subscribed before me this day of , 20 . (seal) Notary Public Signature Form 2502-I 2 American LegalNet, Inc. www.FormsWorkFlow.com Form 2503—General Information (Athlete Agent Surety Bond) The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney. Commentary Athlete agents are governed by Chapter 2051 of the Texas Occupations Code and the secretary of state’s administrative rules found in 1 Texas Administrative Code Chapter 78. Acting as an athlete agent in Texas requires registration with the secretary of state. Sections 2051.102–2051.104, Occupations Code and 78.1, Administrative Code, set forth the application requirements for athlete agent registration. Pursuant to sections 2051.151, Occupations Code and 78.31, Administrative Code, an application for registration (Form 2501-I) must be accompanied by either a $100,000 surety bond or an affidavit stating that the applicant has not entered into a financial services contract or provided financial services for an athlete. This form may be used for the surety bond. Submit either Form 2502-I (financial services affidavit) or Form 2503 (this form), but not both. Instructions for Form Principal/Athlete Agent/Applicant: Provide the name and address of the athlete agent/applicant filing the surety bond. A document on file with the secretary of state is a public record subject to public access and disclosure. When providing address information, use a business or post office box address rather than a residence address if privacy concerns are an issue. Bond: Provide the number used by the surety company to identify the bond. Surety: Provide the name of the surety company. The surety company must be authorized to do business as a surety company in Texas. Revised 03/11 Form 2503 1 American LegalNet, Inc. www.FormsWorkFlow.com Form #2503 Rev. 03/2011 This space reserved for office use Submit with Application (Form 2501-I) to: SECRETARY OF STATE Statutory Documents Section P O Box 13550 Austin, TX 78711-3550 512-463-5705 512-475-2815 - Fax Filing Fee: None. PRINCIPAL/ ATHLETE AGENT/ APPLICANT Name: BOND Number: SURETY ATHLETE AGENT SURETY BOND Name: Street City State Zip Amount : One hundred thousand dollars ($100,000.00) We, PRINCIPAL AND SURETY identified above, our heirs, executors, successors and assigns, jointly and severally, are liable to the State of Texas, for the amount of the bond shown, in favor of the state for the benefit of a person damaged by PRINCIPAL’s violation of Chapter 2051, Occupations Code. SURETY acknowledges that it is duly authorized and qualified to do business as a surety company in Texas. This agreement is subject to the following terms and conditions: The bond shall be maintained for not less than two years after the date that PRINCIPAL ceases to provide financial services to an athlete. This bond shall serve as the security required by § 2051.151, Occupations Code, so that PRINCIPAL may enter into a financial services contract with an athlete. As a condition of SURETY’s obligation, PRINCIPAL shall (1) faithfully discharge all obligations, duties and responsibilities under Chapter 2051, Occupations Code, as that statute is presently worded, and as it may hereafter be amended to read; (2) pay money owed to an individual or group of individuals when PRINCIPAL or PRINCIPAL’s representative or agent receives the money; and (3) pay damages to an athlete caused by the intentional misrepresentation, fraud, deceit, or unlawful or negligent act or omission of the PRINCIPAL or the PRINCIPAL’S representative or employee while acting within the scope of the financial services contract. Any party injured by PRINCIPAL’s failure to meet the conditions of the bond may bring an action based on the bond and recover against the bond. The aggregate liability of SURETY for all breaches of bond conditions may not exceed the amount of the bond. Regardless of the number of years the bond continues in force or the number of premiums paid or payable, the limit of SURETY’s liability stated in the bond shall not be cumulative from year to year or period to period. The bond shall not be subject to cancellation by either PRINCIPAL or SURETY unless written notice of intent to cancel is forwarded to the Secretary of State, Statutory Documents Section, not later than the 60th day before the date of cancellation. If the cancellation is at the request of SURETY, SURETY shall also provide PRINCIPAL with written notification at least 60 days prior to the effective date of cancellation. It is agreed that the bond shall be in full force and effect as of the following date: Date: Signature of authorized person for PRINCIPAL Printed or typed name of authorized person for PRINCIPAL Date: Signature of authorized person for SURETY Printed or typed name of authorized person for SURETY Form 2503 2 American LegalNet, Inc. www.FormsWorkFlow.com Form 2504—General Information (Statement of Individual Agents) The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney. Commentary Athlete agents are governed by Chapter 2051 of the Texas Occupations Code and the secretary of state’s administrative rules found in 1 Texas Administrative Code Chapter 78. Acting as an athlete agent in Texas requires registration with the secretary of state. Sections 2051.102–2051.104, Occupations Code and 78.1, Administrative Code, set forth the application requirements for athlete agent registration. Pursuant to sections 2051.104, Occupations Code and 78.1, Administrative Code, an application for registration (Form 2501-I) must be accompanied by a list of the name and address of each individual who recruits or solicits an athlete to enter into an agent contract, a financial services contract, or a professional sports services contract with the applicant. This form may be used for the list and should be attached to the application for registration or renewal. An athlete agent must notify the secretary of state within 30 days of any change to the individuals identified in this list by submitting a statement showing the change. This form may also be used to submit an updated list. Instructions for Form A document on file with the secretary of state is a public record subject to public access and disclosure. When providing address information, use a business or post office box address rather than a residence address if privacy concerns are an issue. Revised 03/11 Form 2504 1 American LegalNet, Inc. www.FormsWorkFlow.com Form #2504 Rev. 03/2011 Submit with Form 2501-I. For update, submit to: SECRETARY OF STATE Statutory Documents Section P O Box 13550 Austin, TX 78711-3550 512-463-5705 512-475-2815 – Fax Filing Fee: None. This space reserved for office use STATEMENT OF INDIVIDUAL AGENTS Athlete Agent/Applicant: Identify each individual who recruits or solicits an athlete to enter into an agent contract, professional sports contracts, or financial services contract with the above-named athlete agent or applicant. Name: Address: Street City State Zip Street City State Zip Street City State Zip Street City State Zip Street City State Zip Street City State Zip Street City State Zip Street City State Zip Street City State Zip Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: USE AN ADDITIONAL SHEET IF NECESSARY Form 2504 2 American LegalNet, Inc. www.FormsWorkFlow.com Form 2506-I—General Information (Supplement to Individual Athlete Agent Application/Renewal for Financially Interested Party) The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney. Commentary Athlete agents are governed by Chapter 2051 of the Texas Occupations Code and the secretary of state’s administrative rules found in 1 Texas Administrative Code Chapter 78. Acting as an athlete agent in Texas requires registration with the secretary of state. Sections 2051.102–2051.104, Occupations Code and 78.1, Administrative Code, set forth the application requirements for athlete agent registration. An application for registration must provide information regarding the moral character of parties who are financially interested in the applicant’s athlete agent business, including persons with an ownership interest in, or right to receive profits from, the business. This form is required to be submitted with an application or renewal. Instructions for Form A document on file with the secretary of state is a public record subject to public access and disclosure. When providing address or telephone information, use a business or post office box address rather than a residence address if privacy concerns are an issue. Revised 03/11 Form 2506-I 1 American LegalNet, Inc. www.FormsWorkFlow.com Form #2506-I Rev. 03/2011 This space reserved for office use Submit with Application (Form 2501-I) to: SECRETARY OF STATE Statutory Documents Section P O Box 13550 Austin, TX 78711-3550 512-463-5705 SUPPLEMENT TO INDIVIDUAL 512-475-2815 - Fax ATHLETE AGENT Filing Fee: None. APPLICATION/RENEWAL FOR FINANCIALLY INTERESTED PARTY Athlete Agent Applicant: Complete a separate form for each person identified as a financially interested party on the application or renewal for the above-named applicant. Submit the completed supplements with the application or renewal. 1. Name: 2. Principal Business Address: Street City State Zip Fitness Select the appropriate box to indicate whether the person named above has been subject to any of the following: 3. A finding of guilt for a crime (other than a class C misdemeanor). Yes No 4. An administrative or judicial finding that the person made a false, misleading, deceptive, or fraudulent representation. Yes No 5. A sanction (including a fine) or suspension related to occupational or professional conduct. Yes No 6. A denial of an application for a certificate of registration or license as an athlete agent. Yes No 7. A denial, revocation, or suspension of a certificate of registration or license as an athlete agent. Yes No 8. Engaged in conduct resulting in the imposition in an athlete or educational institution of a sanction, suspension, or declaration of ineligibility to participate in an interscholastic or intercollegiate athletic event. Yes No If you answered “yes” to any of the above, in the space below you must provide a statement of (i) the nature, circumstances, date, and location, and (ii) whether the matter is on appeal. Also attach copies of court order and sentence, and papers pertaining to release from probation, if applicable. USE AN ADDITIONAL SHEET IF NECESSARY. Form 2506-I 2 American LegalNet, Inc. www.FormsWorkFlow.com Form #2507-I Rev. 03/2011 This space reserved for office use Submit with Application (Form 2501-I) to: SECRETARY OF STATE Statutory Documents Section P O Box 13550 Austin, TX 78711-3550 512-463-5705 ATHLETE AGENT APPLICANT 512-475-2815 - Fax CONTACT SHEET The information on this page is used for contacting applicants during the application review process and for background checks. This page will not be retained in the secretary of state’s records and will be destroyed once the application with which it is submitted has been approved or denied. Name of Individual: Principal Business Address: Street Phone: City State Zip Email: Social security number: Date of birth: MM/DD/YYYY Form 2507-I 1 American LegalNet, Inc. www.FormsWorkFlow.com