BOARD OCCUPATION CERTIFICATE # INDIVIDUAL NAME BUSINESS NAME FIRST LINE ADDRESS SECOND LINE ADDRESS P O BOX # CITY STATE FIVE DIGIT ZIP CODE ZIP CODE EXTENSION PROVINCE COUNTRY POSTAL CODE EXPIRATION DATE CERTIFICATION DATE LICENSE RANK LICENSE SPECIALTY EMAILADDRESS 33 43 001159 GEORGE T SPAIN III 64 OAKWOOD DRIVE MINERAL VA 23117 0000 05/31/2025 12/23/2024 ILAR georgetspain@gmail.com 33 43 001160 SHANELLE L JOHNSON 2818 GRIFFIN AVENUE RICHMOND VA 23222 0000 05/31/2025 01/03/2025 ILAR thomas.shanelle@gmail.com