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 41 02 005806 BAILEY P GRACE 1650 OVERBROOK RD UNIT C8 RICHMOND VA 23220 0000 12/31/2025 01/15/2025 BOXR CONTACT.BAILEYGRACE@GMAIL.COM 41 02 005807 DEJON E FARRELL-FRANCIS 1269 ALINA ST. APT. B ELIZABETH NJ 07208 0000 12/31/2025 01/29/2025 BOXR dejonff@gmail.com 41 02 005805 ISHMAEL L BENNETT 5947 GRAMMARCY CIR RICHMOND VA 23227 0000 12/31/2025 11/22/2024 BOXR bennettii.llc@gmail.com