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Case Verification Number: 2018269194753BH

Report prepared: 09/26/2018

Company ID: 1284996
Company Name: ESSG - Corporate Management Group
Client Company ID: 1284996
Client Company Name: ESSG - Corporate Management Group

Name: MIchael Gruchala
Date of Birth: 05/12/1966
U.S. Social Security Number: ***-**-4851
Employee's First Day of Employment: 09/26/2018
Citizenship Status: U.S. Citizen

List B Document: Driver's license or ID card issued by a U.S. state or outlying possession
Document Subtype: Driver's License
Document Number: y275294448314
Expiration Date: 05/12/2020
State: Minnesota
List C Document: Certificate of Report of Birth (DS 1350)

Current Case Result: Closed
Case Submitted By: Rachel Prickett
Case Status: Employment Authorized
Reason for Closure: Employment Authorized Auto Close