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State of Utah Vendor Information Form <br />Legal Company Name (include d/b/a if applicable) <br />Carahsoft Technology Corporation <br />Ordering Address <br />1860 Michael Faraday Drive, Suite 100 <br />Remittance Address (if different From ordering address) <br />1860 Michael Faraday Drive, Suite 100 <br />Type ❑ Proprietorship ❑ Partnership ❑ Government <br />® For -Profit Corporation ❑ Non -Profit Corporation <br />Tefephone Number (include area code) <br />703-871.8504 <br />Company's Internet Web Address <br />www.carahsoft.com <br />Offeror' Authorized Representative's Signature <br />Type or Print Name <br />Robert R. Moore <br />Position or Title of Authorized Representative <br />Vice President <br />Date: <br />Federal Tax identification Number <br />52-2189693 <br />City <br />Reston <br />City <br />Reston <br />Company Contact Person <br />Robert R. Moore <br />I,- Number (include area code) <br />703.871.8505 <br />Email Address <br />State of Utah Sales Tax ID Number <br />9721863-0143 <br />State F20 <br />ode <br />VA 90 <br />state I Zip Code <br />VA 120190 <br />robert-moore@carahsoft.com <br />i2/M20l4 <br />