InfraGard



Application 10387512

Submitted: 02/16/2020



## Sotirios Triantafillou

Chapter: South Florida Members Alliance

## Personal Information

1163 NE 3rd Ave

Boca Raton, FL 33432

<table border="1"><tr><td>Home:</td><td>561-757-5711</td></tr><tr><td>Cell:</td><td>561-617-6030</td></tr><tr><td>Email:</td><td>sotir00@gmail.com</td></tr><tr><td>Birth Date:</td><td>05/05/1972</td></tr><tr><td>Citizen By Birth</td><td></td></tr><tr><td>Citizenship Documentation:</td><td></td></tr><tr><td>Passport Nbr:</td><td>541572839 Date Issued: 08-MAR-16 Expired:</td></tr><tr><td>Citizenship Cert Nbr:</td><td>Date Issued: Location:</td></tr><tr><td>Naturalization Nbr:</td><td>Date Issued: Location:</td></tr><tr><td>DoS Document Nbr:</td><td>Date Completed: Issue Location:</td></tr><tr><td>Birth:</td><td>chicago, IL</td></tr><tr><td>Country:</td><td></td></tr><tr><td>Drivers License:</td><td>T653780721650(FL)</td></tr><tr><td>SSN:</td><td>345-70-7026 Helpdesk Code Word: Derby</td></tr></table>

## Business Information



Derby Cybersecurity LLC

1163 NE 3rd Ave

Boca Raton, FL 33432



<table border="1"><tr><td>Title: Managing Partner</td></tr><tr><td>Phone: 561-757-5711</td></tr><tr><td>Fax:</td></tr><tr><td>Email: derbycybersec@gmail.com</td></tr><tr><td>Website:</td></tr><tr><td>Fax:</td></tr></table>

## Additional Information

Critical Infrastructure: Information Technology

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EFTA00173921

InfraGard

Do you or have you had a security clearance? No

Have you applied for InfraGard membership before and been denied? No

Were you previously an InfraGard member? No

Have you ever been arrested for, charged with, OR convicted of a felony or misdemeanor, even if expunged from your record? Yes

A DUI 20 years ago in Illinois in the town of Glenview

Have you ever served in the military? No

Were you discharged from the military?

Were you ever subject of a court martial while in the military? No

Are you unemployed? No

Other organizations you are affiliated with:

People Centered Internet - Washington DC chapter

Why do you want to join InfraGard? Assist with the Protection of U.S. Critical Infrastructure; Networking; Attend Meetings; Access IG Network; Access iGuardian; Participate on National or Local Board

How did you hear about infraGard? Colleague

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