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Customer Assistance Bloom Energy

Location:
Philadelphia, PA
Posted:
April 26, 2023

Contact this candidate

Resume:

Page *

Adecco Group

*** *********** **

Melville, NY 11747

**/**/****

JAMAL ANDERSON

*** ******* ***

NEWARK, DE 19713-4045

Dear JAMAL ANDERSON:

Based in whole or in part on information we received in a Consumer Report obtained from First Advantage Background Services Corp ("First Advantage"), the Company is contemplating taking an adverse action on your employment status. However, that decision is not yet final. Enclosed is a copy of the report and a copy of your rights under the Federal Fair Credit Reporting Act and any applicable state disclosure. You have the right to dispute with First Advantage the accuracy or completeness of any information contained in the Consumer Report by contacting First Advantage within the time frame below. You may contact First Advantage at:

First Advantage, Consumer Disclosure Center

PO Box 105292

Atlanta, GA 30348

1-800-***-****

The specific basis for this potential action is as follows: The companyâs tentative decision is a result of an individualized assessment. You have five (5) business days* to contact First Advantage at the telephone number shown above to provide evidence of the inaccuracy of the information provided. If you believe that there is additional information that may help to better evaluate your fitness for this position, such as any evidence of rehabilitation, inaccuracy of information, or other mitigating factors, please contact me immediately at adwri1@r.postjobfree.com. If we do not hear from you within 5 business days, we will make our determination based on the information currently available to us. If you applied for a position in one of the below locations, please review the attached supplemental notice.

California

Montgomery County or Prince George County, Maryland Massachusetts

New York City, NY

Page 2 of 30

*Erie County, Pennsylvania (10 business days)

*Philadelphia, Pennsylvania (10 business days)

Seattle, Washington

Sincerely,

Company Representative

Enclosures:

Background Report

Summary of Rights

Supplemental Notice, if applicable

Page 3 of 30

â

Para informacià n en espaà ol, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552. A Summary of Your Rights Under the Fair Credit Reporting Act The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under FCRA. For more information, including information about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552. ⢠You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment â or to take another adverse action against you â must tell you, and must give you the name, address, and phone number of the agency that provided the information. ⢠You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your âfile disclosureâ). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: o a person has taken adverse action against you because of information in your credit report; o you are the victim of identity theft and place a fraud alert in your file; o your file contains inaccurate information as a result of fraud; o you are on public assistance;

o you are unemployed but expect to apply for employment within 60 days. In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.gov/learnmore for additional information. ⢠You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. ⢠You have the right to dispute incomplete or inaccurate information. If you identify Page 4 of 30

information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures. ⢠Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete, or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate.

⢠Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. ⢠Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need â usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access.

⢠You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.consumerfinance.gov/learnmore. ⢠You may limit âprescreenedâ offers of credit and insurance you get based on information in your credit report. Unsolicited âprescreenedâ offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address form the lists these offers are based on. You may opt out with the nationwide credit bureaus at 1-888-5-OPTOUT (1-888-***-****).

⢠The following FCRA right applies with respect to nationwide consumer reporting agencies: CONSUMERS HAVE THE RIGHT TO OBTAIN A SECURITY FREEZE You have a right to place a âsecurity freezeâ on your credit report, which will prohibit a consumer reporting agency from releasing information in your credit report without your express authorization. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. However, you should be aware that using a security freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving the extension of credit. As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is placed on a consumerâs credit file. Upon seeing a fraud alert display on a consumerâs credit file, a business is required to take steps to verify the consumerâs identity before extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, which is a fraud alert lasting 7 years.

A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account. Page 5 of 30

Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements. ⢠You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. ⢠Identity theft victims and active duty military personnel have additional rights. For more information, visit www.consumerfinance.gov/learnmore. States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For information about your federal rights, contact:

TYPE OF BUSINESS: CONTACT:

1.a. Banks, savings associations, and

credit unions with total assets of over $10

billion and their affiliates

a. Consumer Financial Protection Bureau

1700 G Street, N.W.

Washington, DC 20552

b. Federal Trade Commission

Page 6 of 30

b. Such affiliates that are not banks,

savings associations, or credit unions also

should list, in addition to the CFPB:

Consumer Response Center

600 Pennsylvania Avenue, N.W.

Washington, DC 20580

877-***-****

2. To the extent not included in item 1

above:

a. National banks, federal savings

associations, and federal branches and

federal agencies of foreign banks

b. State member banks, branches and

agencies of foreign banks (other than

federal branches, federal agencies, and

Insured State Branches of Foreign Banks),

commercial lending companies owned or

controlled by foreign banks, and

organizations operating under section 25

or 25A of the Federal Reserve Act.

c. Nonmember Insured Banks, Insured

State Branches of Foreign Banks, and

insured state savings associations

d. Federal Credit Unions

a. Office of the Comptroller of the Currency

Customer Assistance Group

1301 McKinney Street, Suite 3450

Houston, TX 77010-9050

b. Federal Reserve Consumer Help Center

P.O. Box 1200

Minneapolis, MN 55480

c. FDIC Consumer Response Center

1100 Walnut Street, Box #11

Kansas City, MO 64106

d. National Credit Union Administration

Office of Consumer Financial Protection (OCFP)

Division of Consumer Compliance Policy and Outreach 1775 Duke Street

Alexandria, VA 22314

3. Air carriers

Asst. General Counsel for Aviation Enforcement &

Proceedings

Aviation Consumer Protection Division

Department of Transportation

1200 New Jersey Avenue, S.E.

Page 7 of 30

Washington, DC 20590

4. Creditors Subject to the Surface

Transportation Board

Office of Proceedings, Surface Transportation Board Department of Transportation

395 E Street, S.W.

Washington, DC 20423

5. Creditors Subject to the Packers and

Stockyards Act, 1921

Nearest Packers and Stockyards Administration area supervisor

6. Small Business Investment Companies

Associate Deputy Administrator for Capital Access

United States Small Business Administration

409 Third Street, S.W., Suite 8200

Washington, DC 20416

7. Brokers and Dealers

Securities and Exchange Commission

100 F Street, N.E.

Washington, DC 20549

8. Federal Land Banks, Federal Land Bank

Associations, Federal Intermediate Credit

Banks, and Production Credit Associations

Farm Credit Administration

1501 Farm Credit Drive

McLean, VA 22102-5090

9. Retailers, Finance Companies, and All

Other Creditors Not Listed Above

Federal Trade Commission

Consumer Response Center

600 Pennsylvania Avenue, N.W.

Washington, DC 20580

877-***-****

Page 8 of 30

Background Report

Confidential

JAMAL A ANDERSON

XXX-XX-XXXX

CID - 252048610

ADECCO - STAFFING

10151 DEERWOOD PARK BLVD, BLDG 200

JACKSONVILLE, FL 32256-0566

If you are a First Advantage Consumer Please contact the First Advantage Consumer Center at: 1-800-***-**** Toll Free (within the U.S.)

+1-971-***-**** Toll Number (outside the U.S.)

Or visit http://fadv.com/our-company/contact-support.aspx for local contact details

First Advantage Customers Please contact the CHARLOTTE EMPLOYMENT SERVICE CENTER at:

800-***-**** (outside North America +1-971-***-****) Caution to Customer: Under the terms of the service agreement, this report is delivered with the understanding that the recipient client will hold the same in strict confidence and not disclose it to third parties and furthermore is to be used only for the purpose indicated in the Client's agreement for service, i.e. employment/volunteer/or resident/tenant screening purposes. This report and information provided therein is strictly confidential as it contains personal and sensitive information of the consumer/applicant/candidate/employee and must be utilized solely for the business purposes consistent with the declared purpose in the service agreement and is not to be used by the client or third parties for any other purposes. Client agrees to abide and comply with all applicable laws in connection with this report including data privacy, data protection laws and other similar applicable regulations. First Advantage is not the source of the data provided in this report in that the data is collected by First Advantage from third party data sources such as public records held in governmental databases or courthouses, schools, colleges, universities, company officials, or third party proprietary databases etc. Accordingly First Advantage does not warrant the accuracy of the information provided by those third parties and expressly disclaims any and all liability for any and all claimed losses, damages, expenses including attorney fees and costs incurred as a result of reliance upon the content of this report.

For US-based Clients or Clients obtaining reports on US residents: Client certifies that it has complied with the Fair Credit Reporting Act (FCRA) and that it has provided a clear disclosure in compliance with the FCRA to the consumer/applicant/candidate/employee and obtained consent and authorization from the consumer/applicant/candidate employee in order to receive this report. If the client intends to take adverse action based in whole or in part on the contents of this report, the client must provide the consumer with a copy of the report, a summary of consumers rights as prescribed by FCRA section 1681g(c)(3) and a copy of any applicable state law rights, if required before taking any action, wait a reasonable period of time for the consumer to dispute any inaccurate information and then can take adverse action. First Advantage has provided your company with copies of the CFPB Summary of Rights for this purpose.

Page 9 of 30

For California based Clients or Clients obtaining reports on California residents: In California an investigative consumer reporting agency shall provide a consumer seeking to obtain a copy of a report or making a request to review a file, a written notice in simple, plain English and Spanish setting forth the terms and conditions of his or her right to receive all disclosures.

Page 10 of 30

General Consumer Information

Consumer's Name JAMAL A ANDERSON Cost Center 026912-00 Client Name ADECCO - STAFFING Division DELAWARE VALLEY The following consumer information was used in the production of this report: Last Name, First Name, Middle Name, SSN, Date of Birth, Address SSN XXX-XX-XXXX Address 203 CANNONS WAY

NEWARK, DE 19713-4045

Date of Birth XX/XXX/XXXX

Consumer Contact 302-***-**** Consumer Alternate

Contact

Other Names

Not Provided

Information Regarding this Order:

Position Applied For PROD SUPPORT TECH Date Ordered 20/Mar/2023 09:03:08 AM Background Check

Completion Date

22/Mar/2023 10:50:08 PM Report Last Updated

on

22/Mar/2023 10:50:08 PM

Date Report Printed 23/Mar/2023 04:19:58 PM

Self-Disclosed Criminal History

None

Client References

Label Value

Work Location-Complete Address 200 CHRISTINA PKWY,DE,US Skill (Job Title) PROD SUPPORT TECH

Customer Number 3282502

Region/State/City Delaware Valley Area/DE/NEWARK

Customer Name Bloom Energy Corporation

Department

All timestamps represent US Eastern Time

Note that different elements were searched and completed at different times from the start of the order - please refer to the timestamp associated with each element. Page 11 of 30

First Advantage Background Report Summary

Consumer's Name JAMAL A ANDERSON Date Ordered: 20/Mar/2023 09:03:08 AM Background Check

Completion Date:

22/Mar/2023 10:50:08 PM

Score Result 03/23/2023 - BASED ON YOUR CRITERIA, THE OVERALL CASE SCORE IS INELIGIBLE

Package Name: 7 YEAR CRIMINAL

Package Searches Ordered Status Review Score

Social Security Verification Complete No

Social Security Verification Complete No Pass

Felony, Misdemeanor Or Other Processing

Felony, Misdemeanor Or Other NEWARK, NEW

CASTLE, DE

Complete Yes* Fail

Additional Searches Ordered

First Advantage National Criminal File Plus Complete No First Advantage National Criminal File Plus NEWARK, NEW CASTLE, DE

Complete No Eligible

National Sex Offender Registry Complete No

National Sex Offender Registry Search - Department Of Justice Web Site

Complete No Eligible

Global Sanction Search Complete No

First Advantage Global Sanction Search NEWARK,

NEW CASTLE, DE

Complete No Eligible

Credit Report Complete Yes**

Credit Report Complete Yes** Decisional

* Further review is required by the client to determine the consumer's eligibility based on background check results. Please refer to the corresponding detailed component report section for additional information.

** Further review is required by the client to determine the consumer's eligibility based on background check results. Please refer to the corresponding detailed component report section for additional information.

*** This product has been blocked from delivery due to compliance related restrictions.

Criminal Background Check to be completed after all other elements are completed as per customer's instructions for compliance with NYC Fair Chance Law. Page 12 of 30

Social Security Verification

Status: Complete

Score: Pass

Date Completed: 20/Mar/2023

The Social Security Number Verification (SSNV) matches the given SSN against consumer credit files contained in the databases of nationwide credit reporting agencies. The credit bureaus' consumer credit files contain information provided by companies with which the consumer has had financial dealings and/or public record information collected by the bureaus from the courts. The SSNV does not verify that the Social Security Administration issued a specific SSN to a consumer. Social Security Verification results and Remarks returned from this search are for informational purposes and should not be relied upon as a basis for determining the eligibility of a consumer for credit, insurance, employment or any other product or service, without additional review with and clarification from the consumer. SOCIAL SECURITY VERIFICATION NAME AND ADDRESS INFORMATION OBTAINED FROM: EXPERIAN

Customer Provided Information

SSN XXX-XX-XXXX DOB XX/XXX/XXXX

SSN State Issued SSN Year Issued 1982

Name Type Report Subject Name ANDERSON, JAMAL A

Name Type Former Name Name ELLIS, JAMAL A

Addr Type Residence Address First Date 01/01/2010 Last 01/01/2010 Address 110 E 25TH ST

WILMINGTON, DE 19802

Addr Type Former Address First Date 04/01/1995 Last 04/01/1995 Address 103 E 25TH ST

WILMINGTON, DE 19802

Addr Type Former Address First Date 06/01/2007 Last 06/01/2007 Address 611 N JEFFERSON ST

WILMINGTON, DE 19801

Addr Type Former Address First Date 12/01/2011 Last 06/01/2013 Address 503 E 35TH ST

WILMINGTON, DE 19802

Addr Type Former Address First Date 11/01/2019 Last 10/01/2020 Address 33 RAVEN TURN

NEWARK, DE 19702

Addr Type Former Address First Date 08/01/1999 Last 05/01/2022 Address 110 35TH ST

WILMINGTON, DE 19802

Addr Type Former Address First Date 05/01/2019 Last 06/01/2022 Address 203 CANNONS WAY

NEWARK, DE 19713

Page 13 of 30

Employment Type ES

Employer Name REED TRUCKING COMPANY

Remarks and/or Social Security Alerts

03/20/23: SUBJECT NAME RETURNED MATCHED WITH A DEVELOPED NAME. 03/20/23: AN ADDRESS DISCREPANCY WAS FOUND. SUBJECT ADDRESS DOES NOT MATCH ADDRESS ON FILE.

03/20/23: NO ALERTS RETURNED FROM SEARCH.

Order Process History

Date Description

20/Mar/2023 09:03:08 AM Search In Progress.

20/Mar/2023 09:03:08 AM Record Judged.

First Advantage National Criminal File Plus NEWARK, NEW CASTLE, DE Status: Complete

Score: Eligible

Date Completed: 20/Mar/2023

Record Source DATABASE SEARCH

Search Results No Record Found

Search Type First Advantage National Criminal File Plus Search Address Covered 203 CANNONS WAY

Address City Covered NEWARK

Address County Covered NEW CASTLE

Address State Covered DE

Address Zip 19713-4045

Given Name Searched JAMAL A ANDERSON

Developed Name Searched JAMAL A ELLIS

Order Process History

Date Description

20/Mar/2023 09:03:08 AM Record Ordered.

20/Mar/2023 09:04:57 AM Search In Progress.

20/Mar/2023 10:13:45 AM Record Judged.

Felony, Misdemeanor Or Other NEWARK, NEW CASTLE, DE Status: Complete

Score: Fail

Date Completed: 23/Mar/2023

Record Source NEW CASTLE COUNTY SUPERIOR AND COMMON PLEAS COURTS Page 14 of 30

Search Results Record Found

Search Type FELONY & MISDEMEANOR RECORD SEARCH

Date of Search 22/Mar/2023

Search Period 03/06/2016 - 03/06/2023

Address Covered 203 CANNONS WAY

Address City Covered NEWARK

Address County Covered NEW CASTLE

Address State Covered DE

Address Zip 19713-4045

Location COUNTY COURTHOUSE WILMINGTON NEW CASTLE COUNTY Given Name Searched JAMAL A ANDERSON

Developed Name Searched JAMAL A ELLIS

Case Reference # 210-***-****

Case Date 12/Feb/2021

Name on File JAMAL A ANDERSON

Address on File 110 E 35TH STREET,, WILMINGTON, DE DoB on File XX/XX/XXXX

Charge CRIMINAL TRESPASS 3RD DEGREE

Charge Type VIOLATION

Disposition GUILTY

Disposition Date 21/Jun/2022

Sentence FINE 100; COSTS AMOUNT UNSPECIFIED; VICTIM COMPENSATION FUND AMOUNT UNSPECIFIED

Case Reference # 220*******

Case Date 05/Jul/2022

Name on File JAMAL A ANDERSON

Address on File 110 E 35TH STREET,, WILMINGTON, DE DoB on File XX/XX/XXXX

Charge DRIVE LICENSE SUSPENDED

Charge Type MISDEMEANOR

Disposition PENDING NEXT COURT DATE SCHEDULED FOR

Disposition Date 04/May/2023

Case Reference # 201*******

Case Date 14/Jan/2021

Page 15 of 30

Name on File JAMAL A ANDERSON

Address on File 110 E 35TH STREET,, WILMINGTON, DE DoB on File XX/XX/XXXX

Charge THEFT

Charge Type MISDEMEANOR

Disposition GUILTY

Disposition Date 06/Feb/2023

Sentence PROBATION 1 YEAR; PRISON 1 YEAR / SUSPENDED; SENTENCE TERMS NO CONTACT LOCATION.; RESTITUTION 16084; COSTS AMOUNT UNSPECIFIED /

(SUSPENDED)

Source Status History

Status Date Description

20/Mar/2023 09:03:21 AM Search in progress. Estimated completion by 03/22/2023 Remark

03/20/23: THIS SEARCH ALSO COVERS: 33 RAVEN TURN, NEWARK, NEW CASTLE COUNTY, DE; 110 35TH ST, WILMINGTON, NEW CASTLE COUNTY, DE;

203 CANNONS WAY, NEWARK, NEW CASTLE COUNTY, DE;

Order Process History

Date Description

20/Mar/2023 09:03:08 AM Search In Progress.

20/Mar/2023 09:03:10 AM Search In Progress.

22/Mar/2023 05:51:09 PM Search In Progress.

22/Mar/2023 10:41:29 PM Record Judged.

National Sex Offender Registry Search - Department Of Justice Web Site Status: Complete

Score: Eligible

Date Completed: 20/Mar/2023

Page 16 of 30

Record Source NATIONAL SEX OFFENDER REGISTRY

Search Results No Record Found

Search Type NATIONAL SEX OFFENDER REGISTRY SEARCH-DEPT OF JUSTICE Date of Search 20/Mar/2023

Search Period 03/06/2016 - 03/06/2023

Given Name Searched JAMAL A ANDERSON

Developed Name Searched JAMAL A ELLIS

Source Status History

Status Date Description

20/Mar/2023 09:03:21 AM Search in progress. Estimated completion by 03/21/2023 Order Process History

Date Description

20/Mar/2023 09:03:08 AM Search In Progress.

20/Mar/2023 09:03:10 AM Search In Progress.

20/Mar/2023 10:25:04 AM Search In Progress.

20/Mar/2023 10:25:04 AM Record Judged.

First Advantage Global Sanction Search NEWARK, NEW CASTLE, DE Status: Complete

Score: Eligible

Date Completed: 20/Mar/2023

Page 17 of 30

Record Source FIRST ADVANTAGE GLOBAL SANCTIONS DATABASE Search Results No Record Found

Search Type FIRST ADVANTAGE GLOBAL SANCTION SEARCH Date of Search 20/Mar/2023

Search Period 03/06/2016 - 03/20/2023

Address City Covered NEWARK

Address County Covered NEW CASTLE

Address State Covered DE

Address Zip 19713-4045

Location CONCOURSE PKWY ATLANTA FULTON COUNTY

Given Name Searched JAMAL A ANDERSON

Developed Name Searched JAMAL A ELLIS

Source Status History

Status Date Description

20/Mar/2023 09:03:21 AM Search in progress. Estimated completion by 03/21/2023 Order Process History

Date Description

20/Mar/2023 09:03:08 AM Search In Progress.

20/Mar/2023 09:03:10 AM Search In Progress.

20/Mar/2023 09:09:09 AM Search In Progress.

20/Mar/2023 09:09:09 AM Record Judged.

Credit Report

Status: Complete

Score: Decisional

Date Completed: 20/Mar/2023

CONSUMER CREDIT INFORMATION IN THIS REPORT OBTAINED FROM : EXPERIAN IDENTIFICATION INFORMATION

File Date 2023-03-20

Applicant

Provided SSN

XXX-XX-XXXX SSN Match

Multiple

SSN on

Credit

File

SUBJECT NAME

JAMAL A ANDERSON

FORMER NAMES

JAMAL A ELLIS

Page 18 of 30

First

Reported

Last Reported

CURRENT ADDRESS

110 35TH ST, WILMINGTON, DE. 198**-****-** 2022-05 FORMER ADDRESS(ES)

103 E 25TH ST, WILMINGTON, DE. 19802-4307 199*-**-****-** 203 CANNONS WAY, NEWARK, DE. 19713-4045 201*-**-****-** 33 RAVEN TURN, NEWARK, DE. 19702-4101 201*-**-****-** 611 N JEFFERSON ST, WILMINGTON, DE.

19801-2129

200*-**-****-**

503 E 35TH ST, WILMINGTON, DE. 19802-2817 201*-**-****-** 110 E 25TH ST, WILMINGTON, DE. 19802-4308 201*-**-****-** FRAUD SHIELD SUMMARY

FROM 12-01-22 INQ COUNT FOR SSN=0

FROM 12-01-22 INQ COUNT FOR ADDRESS=0

INPUT SSN ISSUED 1980-1982

INQUIRY/ONFILE CURRENT ADDRESS CONFLICT

PROFILE SUMMARY

PUBLIC

RECORDS

0 PAST DUE AMT $40213 INQUIRIES 0 SATIS ACCTS 1

INST/OTH BAL $40213 SCH/EST PAY $0 INQS/6 MO 0 NOW DEL/DRG 9 R ESTATE BAL N/A R ESTATE PAY N/A TRADELINE 12 WAS DEL/DRG 2 TOT REV BAL $0

TOT REV

AVAIL

100% PAID ACCT 1 OLD TRADE 2014-07

30 DAY DEL 1 60 DAY DEL 0 90 DAY DEL 0 DEROG MONTHS 99 TRADES

SUBSCRIBER:

TRANSWORLD SYS

INC/51

SUB#: 2372530

OPEN

DATE:

2020-09

ECOA: Individual

ACCT

STATUS:

Closed

STATUS

DATE:

2020-09-01

REV / INS: Installment KOB:

Other

Collection

Agencies

ACCT

TYPE:

Collection

Department/Agency/Attorney

PYMT

STATUS:

COLLACCT -

Account seriously

past due

date/account

assigned to

attorney,

collection

agency, or credit

grantor's

internal

collection

department

BALANCE: $499

BALANCE

DATE:

2023-02-21

Page 19 of 30

ACCT COND: -

PAST DUE

AMT:

$499

PYMT

LEVEL

DATE:

2020-09

30 DAY DEL:0

60 DAY

DEL:

0

90 DAY

DEL:

0

MONTHS REV:25

DEROG

MONTHS:

25

PYMT

HISTORY

BY

MONTH:

9999999999999999999999999

MONTHLY

PAY:

$ LAST PD: Not Known

CREDIT

LIMIT

AMT:

$

CHARGE OFF

AMT:

$

ORIG

LOAN

AMT:

$499

HIGH

BAL

AMT:

$

ORIGINAL

CREDITOR:

MEDICAL PAYMENT

DATA

SUBSCRIBER:

TRANSWORLD SYS

INC/51

SUB#: 2372530

OPEN

DATE:

2018-09

ECOA: Individual

ACCT

STATUS:

Closed

STATUS

DATE:

2018-09-01

REV / INS: Installment KOB:

Other

Collection

Agencies

ACCT

TYPE:

Collection

Department/Agency/Attorney

PYMT

STATUS:

COLLACCT -

Account seriously

past due

date/account

assigned to

attorney,

collection

agency, or credit

grantor's

internal

collection

department

BALANCE: $1605

BALANCE

DATE:

2023-02-21

ACCT COND: -

PAST DUE

AMT:

$1605

PYMT

LEVEL

DATE:

2018-09

30 DAY DEL:0

60 DAY

DEL:

0

90 DAY

DEL:

0

MONTHS REV:48

DEROG

MONTHS:

48

PYMT

HISTORY

BY

MONTH:

9999999999999999999999999

MONTHLY

PAY:

$ LAST PD: Not Known

CREDIT

LIMIT

AMT:

$

Page 20 of 30

CHARGE OFF

AMT:

$

ORIG

LOAN

AMT:

$1605

HIGH

BAL

AMT:

$

ORIGINAL

CREDITOR:

MEDICAL PAYMENT

DATA

SUBSCRIBER:

TRANSWORLD SYS

INC/51

SUB#: 2372530

OPEN

DATE:

2019-01

ECOA: Individual

ACCT

STATUS:

Closed

STATUS

DATE:

2019-01-01

REV / INS: Installment KOB:

Other

Collection

Agencies

ACCT

TYPE:

Collection

Department/Agency/Attorney

PYMT

STATUS:

COLLACCT -

Account seriously

past due

date/account

assigned to

attorney,

collection

agency, or credit

grantor's

internal

collection

department

BALANCE: $1470

BALANCE

DATE:

2023-02-21

ACCT COND: -

PAST DUE

AMT:

$1470

PYMT

LEVEL

DATE:

2019-01

30 DAY DEL:0

60 DAY

DEL:

0

90 DAY

DEL:

0

MONTHS REV:45

DEROG

MONTHS:

45

PYMT

HISTORY

BY

MONTH:

9999999999999999999999999

MONTHLY

PAY:

$ LAST PD: Not Known

CREDIT

LIMIT

AMT:

$

CHARGE OFF

AMT:

$

ORIG

LOAN

AMT:

$1470

HIGH

BAL

AMT:

$

ORIGINAL

CREDITOR:

MEDICAL PAYMENT

DATA

SUBSCRIBER:

TRANSWORLD SYS

INC/51

SUB#: 2372530

OPEN

DATE:

2018-09

ECOA: Individual

ACCT

STATUS:

Closed

STATUS

DATE:

2018-09-01

REV / INS: Installment KOB:

Other

Collection

Agencies

ACCT

TYPE:

Collection

Department/Agency/Attorney

Page 21 of 30

PYMT

STATUS:

COLLACCT -

Account seriously

past due

date/account

assigned to

attorney,

collection

agency, or credit

grantor's

internal

collection

department

BALANCE: $570

BALANCE

DATE:

2023-02-21

ACCT COND: -

PAST DUE

AMT:

$570

PYMT

LEVEL

DATE:

2018-09

30 DAY DEL:0

60 DAY

DEL:

0

90 DAY

DEL:

0

MONTHS REV:48

DEROG

MONTHS:

48

PYMT

HISTORY

BY

MONTH:

9999999999999999999999999

MONTHLY

PAY:

$ LAST PD: Not Known

CREDIT

LIMIT

AMT:

$

CHARGE OFF

AMT:

$

ORIG

LOAN

AMT:

$570

HIGH

BAL

AMT:

$



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