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| | Click here or scroll down to respond to this candidate7275 Ohms LaneMinneapolis, MN Street Address
Candidate's Name
Street Address E Kruzan stBrazil, IN Street Address
Street Address /28/2024Enclosed you will find a copy of the background report you requested, which was completed at the request of Revolution.tel PHONE NUMBER AVAILABLE Minneapolis, MNCONFIDENTIALThis report is delivered in strict confidence to the Client End User identified in the report. Client End User has certified its Fair Credit Reporting Act (FCRA) permissible purpose and by accepting delivery of this report re- certifies that FCRA permissible purpose. This document should be stored in a secure manner and not transported via insecure methods. Destruction of this report must be done in accordance with the Federal Trade Commissions Disposal Rule.Background Profile onCandidate's Name
Prepared Confidentially forREVOLUTIONLocation: TERRE HAUTE7275 Ohms Lane Edina, MN 55439 tel: PHONE NUMBER AVAILABLE fax: PHONE NUMBER AVAILABLE Page 2 of 4PERSONAL DATAName: Candidate's Name
Current Address:312 E Kruzan stBrazil, Clay, IN 47834Social Security Number: XXX-XX-4828DOB: XX/XX/XXXXDriver's License Number:Received: 02/20/2024Completed: 02/28/2024Sent: 02/28/2024Status: PendingSUMMARYServices Ordered Complete Pending Clear Attention Discrepancy Criminal(County 7 year)Clay IN Candidate's Name X XCriminal(County 7 year)VIGO IN Candidate's Name X XCriminal(National Criminal Record Search)Candidate's Name XCriminal(Sex Offender)Candidate's Name X XSSN Trace X X7275 Ohms Lane Edina, MN 55439 tel: PHONE NUMBER AVAILABLE fax: PHONE NUMBER AVAILABLE Page 3 of 4SOCIAL SECURITY NUMBER TRACECompleted: 02/27/2024Address History:1. 110 N Manatee St Brazil, Clay, IN 47834 (01/20) 2. 2900 N Main St Terre Haute, Vigo, IN 47803 (04/14) 3. 3200 N Main St Terre Haute, Vigo, IN 47803 (06/13) 4. 2250 N Tabortown St Trlr 50 Terre Haute, Vigo, IN 47803 (05/11) 5. 312 E Kruzan st Brazil, Clay, IN 47834 (01/23)Additional Comments:** Identity Scan did not detect any alerts.CRIMINALCriminal(County 7 year) - Clay IN - Candidate's Name Completed: 02/28/2024MISDEMEANOR 08/28/2020 MA: DOMESTICBATTERY12/23/2020Disposition: Plea byAgreementSentence: Duration: Term:353dSentence: Duration: Term:365dSentence: Duration: Term: 6d*Note: The above record was matched based upon the following identifiers: Type Provided Court File MatchName Candidate's Name PARTIAL DOB XX/XX/XXXX XX/XX/XXXX FULLAddress2250 N Tabortown St Trlr50 Terre Haute, IN 47803FULLCriminal(County 7 year) - VIGO IN - Candidate's Name Completed: 02/28/2024NO FELONY OR MISDEMEANOR CONVICTION RECORD FOUNDCriminal(National Criminal Record Search) - Candidate's Name 7275 Ohms Lane Edina, MN 55439 tel: PHONE NUMBER AVAILABLE fax: PHONE NUMBER AVAILABLE Page 4 of 4Completed: 02/28/2024Note: Additional research at the jurisdictional level may have been required to complete this check. If additional research was required, and reportable information was located, it is included in the applicable jurisdiction service contained in this report. Criminal(Sex Offender) - Candidate's Name
Completed: 02/28/2024Candidate's Name , Joshua, David Version date: Feb 20, 2024Items in bold represent the current version of the data. Candidate opt-in to be provided with a copy of the background report. Personal InformationInformation provided by: iCIMS API byKayleigh Lafferty via Integration -Applicant Entry on 02/20/2024 02:31 PMInformation updated/provided by: Candidate viaCandidate Connect on 02/20/2024 02:42 PM fromIP Address PHONE NUMBER AVAILABLE, PHONE NUMBER AVAILABLEDate Of Birth Dec 16, XXXXSSN XXX-XX-4828Candidate Asserts No SSNPhone PHONE NUMBER AVAILABLE <Unchanged>Email EMAIL AVAILABLE <Unchanged>AKAsInformation provided by: iCIMS APIby Kayleigh Lafferty via Integration -Applicant Entry on 02/20/2024 02:31PMInformation updated/provided by: Candidatevia Candidate Connect on 02/20/2024 02:42PM from IP Address PHONE NUMBER AVAILABLE,PHONE NUMBER AVAILABLECandidate AKA 1 Candidate's Name <Unchanged>Candidate Asserts No Middle NameAddress HistoryInformation provided by: iCIMS API byKayleigh Lafferty via Integration -Applicant Entry on 02/20/2024 02:31 PMInformation updated/provided by: Candidate viaCandidate Connect on 02/20/2024 02:42 PM fromIP Address PHONE NUMBER AVAILABLE, PHONE NUMBER AVAILABLECurrent Address 1 Street 312 E Kruzan st <Unchanged> Current Address 1 City Brazil <Unchanged>Current Address 1 State Indiana <Unchanged>Current Address 1 Country United States <Unchanged> Current Address 1 Zip 47834 <Unchanged>Current Address 1 Start Date Dec 16, 1981Admitted OffensesAn arrest or conviction record does not necessarily disqualify you from consideration.* Do not report any conviction that has been sealed, expunged, statutorily eradicated, annulled, impounded, erased, dismissed under the First Offenders law, pardoned by the Governor or in which state law allows you to lawfully deny as set forth below. You are also not required to disclose violations, infractions, petty misdemeanors or summary offenses.* California applicant/residents: You need not disclose any referral to, and participation in, any pre-trial or post-trial diversion program, or any misdemeanor convictions for which probation has been successfully completed and discharged. Do not list any marijuana-related misdemeanor convictions over two years old, or felony marijuana convictions under California Health and Safety Code Section 11360 which occurred prior to 1976.* Connecticut applicants/residents: You need not disclose any conviction record that has been erased pursuant to sections 46b-146, 54-76o or 54-142a of the Connecticut General Statutes. Records subject to erasure under these sections are records pertaining to a finding of delinquency or that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge that was dismissed or nolled, or a criminal charge for which the person was found not guilty or received an absolute pardoned conviction. Any person whose records were erased within the meaning of these three sections may consider such events to have never occurred and may so swear under oath.* Hawaii applicants/residents: Do not respond to this question until you have been given a conditional offer of employment.* Newark, New Jersey applicants/residents: If you will be working in or are applying for work in the city of Newark, New Jersey, do not respond to this question until you have received a conditional offer of employment.* Kentucky applicants/residents: You do not need to respond Yes as a result of any misdemeanor conviction where the date of conviction was more than five years ago.* Massachusetts applicants/residents: An applicant for employment with a sealed record on file with the commissioner of probation may answer no to the above with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. In addition, any applicant for employment may answer no to the above with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecution. An applicant for employment with a record expunged pursuant to section 100F, section 100G, section 100H or section 100K of chapter 276 of the General Laws may answer no record with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. An applicant for employment with a record expunged pursuant to section 100F, section 100G, section 100H or section 100K of chapter 276 of the General Laws may answer no record to an inquiry herein relative to prior arrests, criminal court appearances, juvenile court appearances, adjudications or convictions. You may exclude information regarding any misdemeanor record where the conviction occurred or any prison sentence ended three or more years ago whichever date is later.* Virginia applicants/residents: You do not need to respond Yes to this question for any Simple Possession of Marijuana offense.* Washington applicants/residents: You may exclude convictions that occurred over ten years ago. Have you ever been convicted of, plead guilty, no contest or nolo contendre, to a misdemeanor or felony? Yes: No:Information provided by: iCIMS API by KayleighLafferty via Integration - Applicant Entry on 02/20/2024 02:31 PMInformation updated/provided by: Candidate via Candidate Connect on 02/20/2024 02:42 PM from IP AddressPHONE NUMBER AVAILABLE, PHONE NUMBER AVAILABLEOffense 1 DomesticLocation United States Indiana United StatesDate Feb 05, 2020I hereby authorize the obtaining of "consumer reports" and/or "investigative consumer reports" by Revolution at any time after receipt of this authorization and throughout my employment, if applicable and where allowed by law. To this end, I hereby authorize any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, or employer to furnish any and all background information requested by Orange Tree Employment Screening, 7275 Ohms Lane, Minneapolis, MN 55439, PHONE NUMBER AVAILABLE, their agents, and/or Revolution itself. A photocopy of this document may be substituted for the original.I affirm that the information provided on this form is true and accurate to the best of my knowledge. I further understand by filling out this electronic application that the act of submitting this is authorization and a written signature is not required. Applicant: Johnson, Joshua, David Date: Feb 20, 2024 1Para informacin en espaol, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street NW, 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 NW, 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 or to take another adverse action against you 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 your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if:a person has taken adverse action against you because of information in your credit report;you are the victim of identity theft and place a fraud alert in your file; your file contains inaccurate information as a result of fraud; you are on public assistance;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 information in your file that is incomplete or inaccurate, and report it to the consumer 2reporting 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 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.information in your credit report.insurance must include a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt out with the nationwide credit bureaus at PHONE NUMBER AVAILABLEThe following FCRA right applies with respect to nationwide consumer reporting agenciessecurity freeze on your credit report, which willprohibit 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 3credit file, a businesextending 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. 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:4TYPE OF BUSINESS: CONTACT:1.a. Banks, savings associations, and credit unions with total assets of over $10 billion and their affiliates b. Such affiliates that are not banks, savingsassociations, or credit unions also should list, in addition to the CFPB:a. Consumer Financial Protection Bureau1700 G Street NWWashington, DC 20552b. Federal Trade CommissionConsumer Response Center600 Pennsylvania Avenue NWWashington, DC 20580PHONE NUMBER AVAILABLE2. 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 offoreign 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 Unionsa. Office of the Comptroller of the CurrencyCustomer Assistance GroupP.O. Box 53570Houston, TX 77052b. Federal Reserve Consumer Help CenterP.O. Box 1200Minneapolis, MN 55480c. Division of Depositor and Consumer ProtectionNational Center for Consumer and Depositor Assistance Federal Deposit Insurance Corporation1100 Walnut Street, Box #11Kansas City, MO 64106d. National Credit Union AdministrationOffice of Consumer Financial Protection1775 Duke StreetAlexandria, VA 223143. Air carriers Assistant General Counsel for Office of Aviation Protection Department of Transportation1200 New Jersey Avenue SEWashington, DC 205904. Creditors Subject to the Surface Transportation Board Office of Public Assistance, Governmental Affairs, and Compliance Surface Transportation Board395 E Street SWWashington, DC 204235. Creditors Subject to the Packers and Stockyards Act, 1921Nearest Packers and Stockyards Division Regional Office 6. Small Business Investment Companies Associate Administrator, Office of Capital Access United States Small Business Administration409 Third Street SW, Suite 8200Washington, DC 204167. Brokers and Dealers Securities and Exchange Commission 100 F Street NEWashington, DC 205498. Institutions that are members of the Farm Credit SystemFarm Credit Administration1501 Farm Credit DriveMcLean, VA 22102-50909. Retailers, Finance Companies, and All OtherCreditors Not Listed AboveFederal Trade CommissionConsumer Response Center600 Pennsylvania Avenue NWWashington, DC 20580PHONE NUMBER AVAILABLE/pre> |