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mailto:amgroup01@msn.com
717.731.8184 Phone
717.427-1621 Fax
Stan Caterbone
Advanced Media Group
220 Stone Hill Road
Conestoga, PA 17516
February 8, 2007
Nelson Brewster
Pennsylvania Attorney Generals Office
Civil Rights Enforcement Section
14th Floor Strawberry Square
Harrisburg. PA 17120
RE:
Complaint received in the Civil Rights Enforcement Section (CRES) on July 21,2006
1983 Civil Rights Acts and 18 U.S.C.A. Acts state the following: The underlying purpose of the scheme of
protecting constitutional rights are to permit victims of constitutional violations to obtain redress, to provide for
federal prosecution of serious constitutional violations when state criminal proceedings are ineffective for
purpose of deterring violations and to strike a balance between protection of individual rights from state
infringement and protection from state and local government from federal interference, 18 U.S.C.A. 241,
242; U.S.C.A. Const. Art. 2, 53; Amend. 13, 14, 5, 15, 2: 42 U.S.C.A. 1981-1982, 1985, 1988, Fed.
Rules Civil Proc. Rule 28, U.S.C.A.
In the case of United States v. Holck, 389 F. Supp. 2d. 338, criminal responsibility defines single or multiple
conspiracies by the following: Governments, without committing variance between single conspiracy charges
in an indictment and its proof at trial may establish existence at continuing core conspiracy which attracts
different members at different times and which involves different subgroups committing acts in furtherance of
an overall plan. This illustrates the legal analysis of the 1987 conspiracy to cover-up my International Signal &
Control, Plc., whistle blowing activities.
2
1983 Civil Rights Acts and 18 U.S.C.A. Acts state the following: The underlying purpose of the scheme of
protecting constitutional rights are to permit victims of constitutional violations to obtain redress, to provide for
federal prosecution of serious constitutional violations when state criminal proceedings are ineffective for
purpose of deterring violations and to strike a balance between protection of individual rights from state
infringement and protection from state and local government from federal interference, 18 U.S.C.A. 241,
242; U.S.C.A. Const. Art. 2, 53; Amend. 13, 14, 5, 15, 2: 42 U.S.C.A. 1981-1982, 1985, 1988, Fed.
Rules Civil Proc. Rule 28, U.S.C.A.
1
Advanced Media Group
Page 1 of 37
08/20/2007
I was denied an application at McDonalds on the Millersville Pike on more than 4 occasions,
and was only allowed to submit an Employment Interest Form. This all occurred over the last 45
days. I was also denied interviews at all places of employment. I had submitted resumes to several
of the more professional employers.
There is no excuse for this behavior given the fact that I have never failed at any business
endeavor in my life. My professional accomplishments are truthful and honest and I challenge you
or anyone to find otherwise.
I hope to hear from you in the very near future. I appreciate your help regarding these
serious allegations.
Respectfully,
Stan J. Caterbone
Advanced Media Group
Cc:
file
enclosure
2
Advanced Media Group
Page 2 of 37
08/20/2007
Page 3 of 37
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08/20/2007
1984 To 1987
In 1984/85 We had helped to develop strategic planning for Sandy Weill,
former President of Citi Group (the largest banking entity in the U.S). We
were one of several associates asked to help advise on the future of Financial
Planning and how it would impact the brokerage and the investment industry
at large. Mr. Weil was performing due diligence for the merger of American
Express and IDS (Investors Diversified Services). We were at that time a
national leader in the company in delivering Fee Based Financial Planning
Services, which was a new concept in the investment community and
mainstream investors. That concept is now widely held by most investment
advisors.
In 1985/86 We were elected Vice President of the Central Pennsylvania
Chapter of the International Association of Financial Planners, and helped
build that chapter by increasing membership 3to 4 times. We had personally
retained the nationally acclaimed and nationally syndicated Financial Planner,
Ms. Alexandria Armstrong of Washington D.C.; to host a major fundraiser.
More than 150 professionals attended the dinner event that was held at the
Eden Resort & Conference Center. Ms. Armstrong discussed financial
planning and how all of the professions needed to work together in order to
be most effective for their clients. We attracted a wide variety of
professionals including; brokers, lawyers, accountants, realtors, tax
specialists, estate planners, bankers, and investment advisors. Today, it has
become evident that financial planning was the way of the future. In 1986
executives approached us from Blue Ball National Bank to help them develop
a Financial Planning department within their bank.
In 1985 we developed the Easter Regional Free Agent Camp, the first Free
Agent Camp for the Professional Football industry; which was videotaped for
distribution to the teams scouting departments. (See Washington Post
page article of March 24, 1985) Current camps were dependant on the team
scouts to travel from state to state looking for recruits. We had developed a
strategy of video taping the camp and the distributing a copy, free of charge
to the teams, to all of the scouting departments for teams in all three
leagues FL, CFL and WFL. My brother was signed at that camp by the Ottawa
Roughriders of the CFL, and went on to be a leading receiver while J.C. Watts
was one of the leagues most prominent quarterbacks. My brother also played
2 years with the Miami Dolphins while Dan Marino was starting quarterback.
We were a Certified Agent for the National Football League Players
Association. Gene Upshaw, the President of the NFLPA had given me some
helpful hints for my camp, while we were at a Conference for agents of the
NFL. The Washington Post wrote a full-page article about our camp and
Page 5 of 37
08/20/2007
associated it with other camps that were questionable about their practices.
Actually, that was the very reason for our camp. We had attended many
other camps around the country that were not very well organized and
attracted few if any scouts. We had about 60 participants, with one player
coming from as far away as Hawaii. We held the camp at Lancaster Catholic,
with a professional production company filming the entire camp, while I did
the editing and produced the video. The well respected and widely acclaimed
professional football scout, Gil Brandt, of the Dallas Cowboys, had given me
support for my camp during some conversations We had with him and said
he looked forward to reviewing the tapes for any hopeful recruits. * In 1986
We had founded Financial Management Group, Ltd (FMG); a large financial
services organization comprised of a variety of professionals operating in one
location. We had developed a stock purchase program for where everyone
had the opportunity for equity ownership in the new firm. FMG had financial
planners, investment managers, accountants, attorneys, realtors, liability
insurance services, tax preparers, and estate planners operating out of our
corporate headquarters in Lancaster. In one year, we had 24 people on staff,
had approximately 12 offices in Pennsylvania, and several satellite offices in
other states. We had in excess of $50 million under management, and our
advisors were generating almost $4 million of commissions, which did not
include the fees from the other professionals. We had acquired our own
Broker Dealer firm and were valued at about $3 to $4 million.
In 1987 We had a created and developed FMG Mortgage Banking, a
company that was funded by a major banking firm in Houston Texas. We
had the capability to finance projects from $3 to $100 million dollars. Our
terms and rates were so attractive that we had quickly received solicitations
from developers across the country. We were also very attractive to
companies that wanted to raise capital that include both debt and equity.
Through my company, FMG, we could raise equity funding through private
placements, and debt funding through FMG Mortgage Banking. We had
secured refinancing packages for Norris Boyd of and the Olde Hickory and
were in the midst of replacing the current loan that was with Commonwealth
National Bank. We had meetings and discussions with Drew Anton of the
Eden Resort, for refinancing a portion of his debt portfolio. We also had a
number of other prominent local developers seeking our competitive funding,
including Owen Kugal, High Industries, and the Marty Sponougle a partner of
The Fisher Group (owner of the Rt. 30 Outlets). We were constantly told that
our financing packages were more completive than local institutions.
In 1987 Power Station Studios of New York retained me as executive
producer of a motion picture project. The theatrical and video release was to
be delivered in a digital format; the first of its kind. We had originated the
marketing for the technology, and created the concept for the Power Station
Digital Movie System (PSDMS), which would follow the copyright and
marketing formula of the DOLBY technology trademark. We had also created
and developed marketing and patent research for the development and
commercialization of equipment that we intended to manufacture and market
to the recording industry featuring the digital technology. Sidel, Gonda,
Goldhammer, and Abbot, P.C. of Philadelphia was the lead patent law firm
that We had retained for the project. Power Station Studios was the
Page 6 of 37
08/20/2007
Page 7 of 37
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08/20/2007
Page 9 of 37
08/20/2007
Area Code
Phone Number
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AVAILABILITY:
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Salary
CLUB C U S T O M E R
W Q NOODLES
Ifcontacted, you will be required to complete an employment application. llyou would rother
submit on opplicotion now, ask for one of the front counter Return completed opplimtion fo 0
Manager ot this McDonold'r Restaurant.
072
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Page 10 of 37
1 29
WC
DISC
00 B A L
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t*xt
1/21/01
1 19
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08/20/2007
Em
Weis Markets is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant
or employee on the basis of actual or perceived age, sex, sexual orientation, race, coior, creed, religion, familial status,
ethnicity, national origin, alienage or citizenship, disability, marital status, military or veteran status, or any other legally
recognized protected basis under federal, state or local laws, regulations or ordinances. Applicants with a disability
may be entitled to reasonable accommodation under terms of the Americans with Disabilities Act and certain state or
local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal
employment opportunity without imposing undue hardship on Weis Markets. Please inform a Company representative if
you need assistance completing any forms or to otherwise participate in the application process.
This application will remain active for 60 days, after 60 days, you must reapply for further consideration.
DATE
ADDRESS
TELEPHONE (
12
bast
area code
f%Km~k
street
middle initial
AT.
hllmm
cihi
baa6
number
3-
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TA~
fir
NAME
-+
17&03
zio
b- 0 4 n
state
Have you ever been convicted of a felony which has not been expunged or sealed by a court?
YESO
NO R
E C O R ~
You should answer "no record" if a conviction has been sealed or expunged or otherwise statutorily eradicated. If
you checked yes, please explain below. If more space is required, please use separate sheet. A criminal conviction wlll not necessarily be a bar to employment. To help us evaluate your application, please describe the
nature of the crime and your subsequent rehabilitation.
Other0
(specify)
u\/l
per hour, or $
MU^
manthldaylyear
per week
We are a 7-day-a-week business with emphasis on nights and weekends. Please indicate your availability below:
Full T i m e w Part T i m e 0
~ a ~ s~ v
me n i n ~ s~mi ~ h t ~
s eBe k e n d s B
Put the specific hours (Fromno) you are available for work in the boxes below. (Leave the box empty if you are not
available at all that day and write " A under any day you are "available" all that day without any scheduling restrictions.)
SUN
MON
TU E
WED
THU
FRI
SAT
From (AMIPM)
To (AMIPM)
Form #45
Revised 6-1-04
Page 11 of 37
08/20/2007
Graduated
10
11
YES
FR SO
A3
YES
DegreelMajor
&y
NO
YES
NO
NOE
If yes, name and location of school
FULL^ PART^
NONE
'Beginning with the most recent employment, list the last four employers (including military service) or cover at
least a seven year period, whichever is longer. Use separate sheet if necessary.
C rent or Most Rec nt Employer
From
To
Mo.
~ r 1 90
4 MO.
~
r7
i//krcbrf
C&
Base Salary or Wage
Starting
Ending
Supervisor's Name
tate
Zip
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us Employer
Phone (
City
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State
Zip
sub-
[I5Si(
Ending
3s
Reasw
te0 Gc;T
f r Ieavirs
From
Mo.
Yr.
Base Salary or Wage
Starting
Street
/?h<
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15&8
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Ending
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Zip
t7ko f
Rea n for leaving
Z ~ e mem-
Previous Em~lover
,
Phone f
l From
IMO.
TO
Y r.
Street
City
State
MO.
Y r.
Ending
Supervisor's Name
Zip
I
*ALL employment Information above must be completed in full for your application to be considered.
In the past seven years have you ever been discharged, suspended or asked to resign by an employer? YES
NOD
Page 12 of 37
08/20/2007
NOW
NOW
List two professional references familiar with your work ability (exclude relatives)
me (not
related to you)
1-
Address
ate
17~3-&d-
ftkC'*&
6Lertti
street
~(idlehb
IZSI
tafe
ST.
~,~Aw.I
Phone
Phone
How acquainted and far haw ,ng?
ZIP
Occupation
3$3-01 b o
ZIP
I ? Y * ~
i z c ~At41
.
x-4L-3
PLEASE READ THESE STATEMENTS OVER CAREFULLY AND INITIAL EACH PARAGRAPH BEFORE SIGNING AT THE BOTTOM
nave dlscosed all infarnht :r-a- s 'eevant and should be consldered applicable to my candidacy for employment.
4 C lnltials
- -.;.tand, where permissible under applccable state and local law, I may be subject t o apre-employment drug test after
....
=.- . - 3 a conditional offer of empioyment. and must receive a negative result before being permitted to commence
-AS.-
.,. r
I
-- ;. :'IWeis Markets.
SJ
{nitiais
<--?-tand, where permissible under applicable state and local law, I may be subject to a pre-employment medical
ex--::.6
lation after receiving a conditional offer of employment, and must meet the qualifications for the position,
r; without reasonable accommodation, before being permitted t o commence work with Weis Markets.
S4 C _ initials
-ereby certify that the information given by me is true in all respects. I authorize Weis Markets and its representatives
contact my prior employers and all others 'or the purpose of verification of the Information I have supplied and
release same from any liability resulting 'ram !he rfsr-natlon reieased. I authorize employers, schools and other
persons named an this appilcat~onto prcvde any lnformation or transcripts requested.
!
10
I expressly understand and agree that, if employed, my employment, having no specified term, is based upon mutual
consent and may be terminated at will, with or without cause, by either party (the employer or me) without prior
notice to the other, unless otherwrse prohibited by law.
bJ
lnitials
SJ C-
I understand that no representation, whether oral or written, by any representative or agent of Weis Markets, at any time,
can constitute an implied or expressed contract of empioyment. I further understand no representative or agent of
Weis Markets, has the authority to enter into an agreement for employment for any specified period of time or to make
any change in any policy, procedure, benefit or other terms or condition of employment other than in a document signed
by the Dlrector of Human Resources or hislher authorized representative.
Initials
Inithis
r------------------------------------------------------------------.
Maryland lie detector law - "Under Maryland law, an employer may not require or demand, as a condition of employment, prospective
I employment, or continued employment, that an individual submit to or take a lie detector or similar test. Any employer who violates this proI vision is guilty of a misdemeanor and subject to a fine not exceeding S100."
I
I
I
I
iI
Date
Maryland allplioants signature required
I certify, under penalty Of Perjury, that all of the above information is true and complete, and I understand that any falsification
or omission of information may result in denial of employment or, if hired, may result in termination regardless of the time
lapse before discovery.
SJc
lnltials
Note: An offer of employment is conditioned upon complying with Weis Markets' requirements including, but not limited to signing a Consent to
Conduct an Investigation.
MY
SIGNATURE IS EVIDEN
;'-,
Appltcant's signature
Page 13 of 37
08/20/2007
OFFICE OF
DISTRICT COURT ADMINISTRATION
DMctEavrt Administrator
FAY E. BINZEN
Assistah4 Distrld Court Adminfstratw - Civil
RUSSELL A. GLASS
Assistant Dlstrlct Court Mminist@~r- Criminal
ELIZABETH A. GLITHRIDGE
Asslslsnt Dlstrict Court Adrninllrator Humsn R#soure~scaYP~rchastng
Bail Administrator
BEVERLY A. KIRBY
Assislanl DisMct C~urtAdmlnlstiator -
Phone: 717-295-3584
Fax: 717-295-3625
Stan Caterbone
1250 Fremont Street
kincaster, Pennsylvania 17603
Dear Mr. Caterbone:
Enclosed please &d your Application to the Court of Common Pleas for the
Appointment as Republican County Commissioner and your resume which you hand delivered to
the Court Adminishation Office on Tuesday, January 23,2007. 1am retunkg these documents
to you because as required by the aunou11cementof position vacaucy
(www.co.lancsteraaus/wurts) you must also include a statement of your goals and objectives
and a signed criminal background investigation waiver. All these documents must be delivered
in one package and must include twelve (12) copies. I also note that you checked the box
indicating that you were not a member ofthe Republican party which is a requirement to be
considered for the forthcoming Commissioner vacancy.
Mark M.Dalton
District Court Administrator
Page 14 of 37
08/20/2007
COUNTY OF LANCASTER
APPLICATION TO THE COURT OF COMMON PLEAS FOR APPOINTMENT AS REPUBLICAN
COUNTY COMMISSIONER
Stan
NAME Caterbone
PRESENTADDRESS
M<
1250 F r e m o n t S t r e e t
PA
Lancaster
9,REC.
C8,"
$83,439
SALARY:
01/23/2007
DATE
-RST
LLST
17603
S,*,G
X\PCODC
0211412007
NAME AND
EDUCATION
HIGH
SCHOOL
YEARS
LOCATION OFSCHOOL
DATTCMPLOYTD
DIPLOMWDEGREE
COMPLETED
COURSE OF STUDY
College Prep
Millersville University
Bachelor of
Schience Business
Computer S c i e n c e
Administration
Administration
COLLEGE
UNDERGRADUATE
.....
and Business
GRADUATE
LIST PROFESSIONAL CERTIFICATIONS. LICENSES. APPRENTICESHIPS, SPECIALIZED TRAINING, OR FOREIGN LANGUAGE SKILLS:
II
~
~
I
NAME
I
PHONE NO.
ADDRESS
II
I
BUSINESS
RELATIONSHIP
Dale High
-High I n-d u s t r i e s .
Joint
.Former
.
-
John Garafolo
Gaithersburg. MD
National Institute
Former Proiect
Robert
I
111
Kauffman
I Primier
Financial
I Former Partner. 1
111
Paae 1 of 2
Advanced Media Group
Page 15 of 37
08/20/2007
Caterbone
0112312007
I
PHONE NO.
All Inclusive
I
RE&SON FOR LEAVING
SUPERVISOR NAME
I
EMPLOYER
NAME/ADDRESS
STARTING MOIYR
JOB TITLL:
ENDINGMOIYR
0111998
0111994
Controller
108 DUTIES:
SUPERVISOR
PHONE NO.
Forced to Resign
EMPLOYER
N&ME/ADDRESS
STARTING M O I Y R
108 TITLE:
ENDiNG MOIYR
0111986
1111988
JOB DUTIES:
PHONE NO.
SUPERVISOR
-5-F
EMPLOYER
NAME/ADDRESS
STARTING M O I Y R
PHONE NO.
JOB TITLE:
ENDING MD/YR
JOB DUTIES:
SUPTRYISOR
YES
NO
3)
4)
I HEREBY GIVE THE COUNTY OF LANCASTER AND THE COURT OF COMMON PLEAS THE RIGHTTO MAKE A THOROUGH INVESTIGATION
INTO MY PREVIOUS EMPLOYMENT, EDUCATION AND REFERENCES.
AND
CORPORATIONS SUPPLYING SUCH INFORMATION AND INDEMNIN AND HOLD HARMLESS THE COUNN OF LANCLSTER AND THE
COURTOF COMMON PLEAS FROM ANY LIABILITY WHICH MIGHT RESULT FROM SUCH AN INVESTiGATlON.
ALL ACCOMPANYING PAPERWORK SHALL CONSTITUTE SUFFICIENT CAUSE FOR REMOVAL FROM OFFICE AND/OR PENALTIES UNDER
18 PA CONS.STAT.,
SECTION 4904 RELATED TO THE UNSWORN FALSIFICATION TO AUTHORITIES. I UNDERSTANDTHAT
NOTHING CONTAINED IN THIS APPLICATION ORTHE GRANTING OF AN INTERVIEW IS INTENDED TO CREATE AN OFFER OF
APPOINTMENTTOTHE APPLIED FOR POSITION.
Page 16 of 37
08/20/2007
Application to the Court of Common Pleas for appointment as Republican County Commissioner
Instructions
Use this application to apply for county commissioner for the County of Lancaster
To begin, click mouse in 'Last Name' box and begin typing.
Use tab to move to next box, use shiftltab to movc to previous box
Left click mouse or press Entcr to chcck or uncheck box.
All 4 digits of a year must be shown in a date.
Please he aware that you will not be ab!e to save the completed application as a computerized
file.
When you finish cntcring data, be sure to read the information directly above the
signature line. Please understand that by signing the form you state that the infoni~ation
IS correct; authorize the County of Lancaster and the Court of Comrnon Pleas to investigate your
employment and educational background; and understand that the application does not create an
employment contract between you and the County of Lancaster.
Plcasc sign and date the application and send both pages and any accompanying paperwork to:
Court of Common Pleas
Mark Dalton, District Court Administrator
50 North Duke Street
P.O. Box 83480
Lancaster, PA 17608-3480
Page 17 of 37
08/20/2007
EMPLOYMENT
APPLICATION
we ere an Egust oppnunity Employer. It is our miicy to abide by slt Federal. State, and iosai laws concerning dissrimination in empioymenl
N~ question in this appiication is intended to elicit informationi n vioiation of any rucn law nor will any information obtained in response to any
questson be used in violation of any svch law.
Last Name
a00-%-om
~ome
Phone
J&G&#NT
S W ~nstate
M
(
ZIP
Db03
For (If rpplisant responds "ANV, appiisrlion will NOT be considered further)
I
I
now
PJ~A
tong a! ~ r e s enodress?
l
Wages
Elpested
Department
&
Yes, Date@)
Sm8a1 ~ C U INO
IIY
F8nl
Position Appiying
I- 22-d
7
- -
Street Addless
CltY
D~~~
Relationsnip
Name
I
1 In case of accident notify
1 Phone
GRADUATE
SCHOOL
Yes
No
Type or Trade
HOW Long?
Yes
--
Have you been convicted of a crime in the past 10 years, excluding misdemeanors and summary offenses, which has not been annulled, expunged, or sealed
by a court? (A conviction record will not necessarily be a bar to employment.)
Yes
Can you verify your legal rights to work in the U.S. by providing a birth certificate, proof of U.S. Citizenship, or by some other means?
Advanced Media Group
--
18c,of
37
o--+:
-.,- Page
A
*b..-
c
.
:
.
,
.
Yes
NO
08/20/2007
EXPERIENCE
Aa,,wwfiMk 66
2-24 se- Lk.c&i
11-4
ni? 6-
L-b
$7&
0 No
34iE
STAPTE?
REASON FOR
LEAVING
LEF~
jcl LICI(.AT~W
--iL-W+
hhwfiww L
LAST
WAGES
SUPERVISOR
OF COMPANY
14
L-
C I J W
i
b
,tutkr
Additional Remarks:
APPLICANT'S CERTIFICATION
I certify that, to the best of my knowledge and belief, the answers given by me to the foregoing questions and the statements made by me in this
application are correct and complete. I understand that misrepresentation or omission of facts in this application may result in my discharge.
If employed, i understan
be governed by any exp
Applicontls Sipn~ture
Interview?
gree that such employment may be terminated at any time, without prior notice, and that my employment will not
or i m p l i m t r a c t by(Js aywill.
/-aa-u?
M
U
m
DO #of WRITE BELOW - FOR COMPANY USE ONLY
/
1 Date
I
Yes
No
Hour
Date
R e s u l t s o f Interview:
FORM
2700 Media Group
Advanced
Yes
No
Starting Rate
Date
Approved By
Page 19 of 37
Starting Date
Shift
Date
08/20/2007
Select Security
EMPLOYMENT APPLICATION
Date of Application:
/o
- c-
2m&
This company is an equal oppomnity employer and will not discriminate in the hiring process on the basis of sex, religion, race, color, a;
ancestry or handicap.
PERSONAL INFORMATION
Social Security No.
2m -%-oW7
Home Phone
&SF?-)
Business Phone
(7/3 f31-@'8$
EMPLOYMENT INTEREST
ry Desired:
/
Date you can start?
Work Status Desired
Part Time
Weekends-
Yes
No
Temporary
Shifts
" *.
Page 20 of 37
08/20/2007
,?56---,@6
EMPLOYMENT HISTORY (list below last three employers, starting with last one first)
-5GF
&&*cL~
Company Name
Address &Telephone
Pay or Salary
Company Name
I
Address &Telephone
Pay or Salary
Company Name
Pay or Salary
yes
Date of Entry
Date of Discharge
fi
(i+j
Branch of Service
Final Rank
Page 21 of 37
08/20/2007
DRIVING HISTORY
'
No
Driver LicensenD Number:
Have you had your driver's license suspended or revoked in the past (3) years?
If yes, explain:
Yes
No
GENERAL
Have you ever applied for e m p l o y n e n t with this company before?
fl
Yes
Yes
lfyes, when
:&anent
Resident
Other
Have you been convicted of a crime (which has not been annulled or sealed by a court) during the past 7
other dishonesty, rape, murder, assault or other violence, or the sale or possession of illegal drugs? Yes
If yes, please provide details:
&
A conviction record will not necessarily be a barrier to employment at Select Security. All factors, including thc nature of the inkaction,
the date of conviction, the rehabilitation and the job for which you arc applying will be considcred. If yes, provide details:
REFERENCES
Telephone
Years Known
Occupation
-.
1 ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE O F THE COMPANY HAS ANY AUTHORlTY TO
ENTER ISTO ANY AtiKEE.\lEKT FOR E>lPLOYhlENT FOR ANY SPECIFILD PERIOD OFTI>IE O R T O hlAKE AKY
,~-\CREE~IEN'I
C O 3 IKARY TO THE FOREGOING, I:NLESS IT IS IX WRITISC ASD SIGNED BY AN AWHOKIZED
COfilPANY REPRESENTATIVE.
Advanced Media Group
Page 22 of 37
08/20/2007
IN THE UNITED
STATES AND DEMONSTRATE THAT AUTHORIZATION AS REQUIRED BY THE IMMIGRATION REFORM &
CONTROL ACT OF 1986.
I UNDERSTAND THAT I F I AM EXTENDED AN OFFER OF EMPLOYMENT WITH SELECT SECURITY, IT WILL BE
COSTINCEST UPOS nly SUCCESSFL.L COMPLETION OF A POST-OFFER PINSICAI. EXAMINATION. I CONSENTTO
HEI.EA3E O t ALL 3lY >IEDICAI, IYFORh1ATION AS > M Y BE NEEDED TO DETER31INF. hlY C,\YARII.ITY TO
PERFOR\l
THE WORK \\'HIGH I k U V E UEES OFFERED. I USDERSTAND THE POST-OFFER PHYSICAL EXAM WILL
lNCLUDE DRUG AND ALCOHOL SCREENING.
I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT IS "AT WILL" AND CAN BE
TERMINATED BY EITHER ME OR SELECT SECURITY AT ANY TIME FOR ANY OR NO REASON.
I K4VE READ, UNDERSTAND, AND BY MY SIGNATURE A
ate
/O
ere
&<
Signature
Page 23 of 37
08/20/2007
Turkey Hill Minit Markets, an Equal Opportunity Employer, does not discriminate i n hiring or terms a r d conditions of employment because of an
individual's race, religion, color, sex, age, ancestry, n;i:oibi?i origin, marital
status o r disability. Please answer all questions as completely as
possible.YOUR APPLICATION WILL BE CONSIDERED ACTIVE FOR SIXTY
(60) DAYS. FOR CONSIDERATION AFTER THATYOU MUST REAPPLY.
?-25?2@ 6
Full Name
Last
Present Address
220 d w
b Qd$FG4
Firs
No 8 Street
,
Phone No. (Day)
social security
-ChVI43-
NO'
~ - 2 s - L6
''-3~2f~ cqc?
ZIP
State
Ctty
)Yes
( W o
( ) No
Posltlon desired
4~a-
Turkey Hill Minit Markets tries t o grant employees' requests regarding availability for work; however, due t o the nature
of our business, employees will be required to work at night, o n weekends, and holidays, sometimes with short notice
and may be requested to work overtime.
Will you work Full time?
Hours availabie
Holidays?
When?
)Yes
3 or 4 hour shifts?
2%
L)+%-
Where?
..
Do you have friendsirelatives working for Turkey Hill Minit Markets? ( q ~ e s(
Position?
) No
Where?
))A d E
aok [krdlm
After reading the Physical Capabites Analysis of the job for which you are applying, do you believe that you can
the
essentla functions of that job with or wthout a reasonable accommodation? (Applicants will not necessarily be dsqualified if they
are upable to perform a particuiar job duty.)
f - r t e s I ) No If the answer is No. please list (from the descrption) which duty (duties) you are unabie to perform:
Do you liave transportation? ( Y ~ e s (
) No
)Yes
) No
Have you been convicted of a criminal offense (except minor traffic offenses)? Convictioli is not necesszrily a bar to employment.
fisweve:. dece@& as to ther existence or falsificaton of their exact nature will result in denial of employment.
! ! Ye$ &yo
If yes. please explain
EDUCATION
Graduated or GED?
Type af
Cjqe Degrees
Elementary
C o i i e g e
What further training or special courses have you had since leavng schooi?
Will you be continuing your education during your employment with Turkey Hill? (
Please check below w
2Retail
Page 24 of 37
)Yes
) No
Where
?7ZJ'- /% 2 l,
08/20/2007
7-,2&,20) 6
Print Name
Applicant's Signature
Page 25 of 37
08/20/2007
Page 26 of 37
08/20/2007
Page 27 of 37
08/20/2007
F-
Spec~altra~nlngrece~ved
PERSONAL REFERENCES
Give the names of 3 persons not related to you whom you have known at least 1 year. Do not include previous employers.
Name
I
i /+V/~O&LOW'
2
/JPLo& k?
fi/e
prL4-J
yC2 9
fl.f.2
Phone Number
h-.
28
'
/S'LUE / b e ,4340
WORK EXPERIENCE
List all positions, starting with your present or most recent job, including all periods of unemployment and reasons.
Employer
Date Hired
Starting
Srreet Address
Date Separated
Ending
Phone
Employer
Date Hired
Starting
Street Address
Date Separated
Ending
Phone
Have you ever been asked to resign a job or been terminated? ( ) Yes
(&
Indicate by number which of the above jobs you liked m o s t . Which of the above jobs did you like l e a s t .
If you used another name during your employment, state the name you used and indicate the company by number
Page 28 of 37
08/20/2007
Smith Barney
150 North Queen Street
Lancaster, PA 17602
Page 29 of 37
08/20/2007
Stan Caterbone
220 Stone Hill Road
Conestoga, PA 1,7516
Dear Mr Caterbone:
Municipal Building
Page 30 of 37
08/20/2007
amgroup01@msn.com
From :
Sent :
To :
Subject :
Media-jInfoTech-Financial Consultant
Attachment :
amgroup01@msn.com
www.amgglobalentertainmentgroup.com
Fax: (717) 427-1621
Advanced Media Group
220 Stone Hill Road
Conestoga, PA 17516
Page 31 of 37
08/20/2007
RRTA
Date:
PERSONAL INFORMATION
Social Security Number:
City
Address
State
Zip
EMPLOYMENT DESIRED
Position
Bus Driver
Fulltime
Salary Desired
Course
Did you
Years Attended* Graduate?*
High School
College Prep
1976
College
Millersville University
Business Admin
Computer Science
1980
Other
*The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less
than 70 years of age.
MILITARY SERVICE
U.S. Military or Naval Service.
Rank
Rank
GENERAL QUALIFICATIONS
State
No Q
Endorsements
Have you had any motor vehicle accidents, moving violations, license suspensions or other violations of the Motor Vehicle Code
within the last ten years? Yes Q
No Q
If yes, list details of violations and/or accidents
Advanced Media Group
Page 32 of 37
08/20/2007
No
EMPLOYMENT RECORD
List employers starting with the most recent. Federal regulations require information on all driving jobs held for the
past 10 years including dates of employment and reason for leaving each employer.
Date Month/Year Name/Address/Phone of Employer
Salary
Position
Reason for Leaving
Advanced Media Group
None
CEO/Owner
From 1998
220 Stone Hill Road, Conestoga, PA 17516
From
Present
1994
To
1998
To
Pflumm Contractors,
54 S. Duke St, Millersville,PA 17551
40K
Controller
From
To
From
To
Attach a separate sheet if necessary.
REFERENCES
Name
Robert Kauffman
Michael Caterbone
Mal Brubaker
Address/Phone
1755 Oregon Pike, Lancaster, PA 17601
122 Swan Avenue, Plantation, FL 33324
835 High Street, Lancaster, PA 17603
Occupation
Years Known
Financial Planner
25
AIM Wholesaler
45
Construction Estimator
14
REMARKS
I authorize investigation of all statements in this application. I understand that misrepresentation or omission of facts called
for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless
of the date of payment of my wages and salary, be terminated at any time without previous notice.
Date.
Signature.
Page 33 of 37
08/20/2007
DL-503 (6-06)
REQUEST FOR
DRIVER INFORMATION
You may obtain a copy of your own 3 Year and/or 10 Year Driving Record on PennDOT'S website at www.dmv.state.pa.us
$5.00 FEE (Employment Purposes Only)
A
REQUESTER INFORMATION
NAME/COMPANY
ADDRESS (PO Box not acceptsole), need to provide physics! location of business/residence
45 Erick Road
3ITY
STATE
Lancaster
PA
PHONE NUMBER (REQUIRED)
DAYTIME TELEPHONE
(717)
ZIP CODE
CITY
STATE
ZIP CODE
17601
397-5613
NUMBER
Lisa M. Marion
S1GNATURE
NOTARIZATION NOT REQUIRED WHEN REQUESTING YOUR OWN RECORD
C DRIVER INFORMATION