Supporting Documentation · Dec 4, 2024
Filing Letter to Board in Response to M Bennett Email with Exhibits 12 02 2024
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Show all pagesPage 10A PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER _1802__-_ 33 -_005 -_011 ALL APPLICANTS ANSWER THE FOLLOWING (ADD PAGES AS NECESSARY) SOLE OWNERS AND PARTNERSHIPS: Complete the page in full. LIMITED PARTNERSHIP: All information about a general partner or partners of a limited partnership must be reported, whether ‘the general partner is an individual or a corporation. A list of the names and addresses of all limited partners must be submitted as an attachment to this application with an identification of the percentage of each limited partner as it relates to total ownership of the business entity to be licensed CORPORATIONS: All corporation applicants or licensees and any corporation that has an ownership interest in the corporation under license or to be licensed must have been reported on page 10. Information on this page, 10A, will identify all officers, directors, and stockholders holding one percent or more of the shares of the respective company. Club licenses must list names of officers and directors and attach a current membership list NAME OF CORPORATION OR CLUB COVERED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP) Steele HGC Investment, LLC Name of incividual (last name first), stockholder, partner, officer or director ¥ McDermott Peter R First Middle Initial Last Name Home sree Aaeress Number e P.O. Box # Municipality Zip Social Security number Home telephone Ta Office telephone number Area Exchange Number % of business owned or controlled 0% Number of shares Check position that applies: Sole owner Partner Stockholder ____ President ____ Vice-President Secretary Treasurer _W_ Director Trustee Manager Agent Executor/Administrator ____ Receiver Beneficiary Other (specify) Name of individual (last name first VJ Steele HGC Investment II, LLC Last Name First Middle Initial Home Street Address __100 St. Paul Street, Suite 800 Number Street Name P.O. Box # Municipality _ Denver state _CO Zip 80206 “5 Social Security number _ Date of birth rt Home telephone number ( < Area Exchange Number Office telephone number (720_) 284 _ 6400 ‘Area Exchange Number 100% % of business owned or controlled Number of shares Check position that applies Sole owner Partner Stockholder President Vice-President Secretary Treasurer Director Trustee Manager Agent Executor/Administrator
iness owned or controlled Number of shares Check position that applies Sole owner Partner Stockholder President Vice-President Secretary Treasurer Director Trustee Manager Agent Executor/Administrator Receiver Beneficial ¥ _ Other (specify,)_Member ry
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