The Employer hereby ratifies and approves the terms of the North Atlantic States Regional Council of Carpenters Collective Bargaining Agreement.
The Employer hereby affirms that it has purchased and distributed sufficient stamps to its employees named above to satisfy its obligation contained in this report. Any false statement or representation
made in reporting on this form may subject you to prosecution under 18 U.S.C. Section 1027, the penalty for which is a fine of $10,000 or imprisonment for five years or both.