Supporting Documentation · Dec 4, 2024
Filing Letter to Board in Response to M Bennett Email with Exhibits 12 02 2024
8d6c31704941a25307d37c2154a0f8bc3a4cd3522ed1b8e13d7965a5bb610530Indexed text · page 75
Show all pagesPage 10A LEASE TypE oR pRrNT ALL TNFoRMAT|oN srArE AssrGNEo L|CENSE NUMBEB 2020 33 - 027- iol ALL APPLICANTS ANSWER THE FOLLOWING IADO PAGES AS NECESSARY] SOLE OWNERS ANO PARTNERSHIPS: Complete the page in tu . LIMITED PAFITNEFISHIP: All in,ormation about a general partner or parlners ol a limited pa.tnership musl be reported. whelher the geoeral partner is an individual or a corporalion. A list ol the names and addresses ot all limited partners must be submitled as an atlachment lo this applicalion wilh an identj,ication of the percentage of each limited partner as it relales to total ownership ol the business entity to be licensed. COFIPOBATIONS: All corporation applicants or licensees and any corporation that has an ownership interesl in the corporation under license or to be licensed must have been reported on page 10. lnlormalion on this page, 1OA. willidentity all oflicers. directors. and stockholders holding one percent or more of the shares ol lhe respective company. Club licenses must list names of olficers and direclors and attach a current membership list. *t**i*i**t*****i*********************************************t***i****** NAME OF COFIPORATION OR CLUB COVEFIED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OB STOCKHOLOER IS A CORPOBATION OR PARTNERSHIP). nt Club Name of individual (last name tirst), stockholder, partner, ollacer or director Fraites Chris topher G. Last Name Middle hrtial Home Street Address Number P.O. Box # M unicipality State zip Dare ol Social Security - number Home lelephone -number oirtn Exchange Number Exchange Number Office Ielephone number of business owned o. controlled Number of shares _ Check position that applies: Sole owner Partner Stockholder President Vice-President Treasurer Direclor Secretary Agenl Receiver IL Executor/Adminislrator - Trustee - Manager (specily) Bene,icrary Olher q/o - - TO ADD Name of rndiv,dual (lasl name lirsl) Frisco, Jr. Lasl Name CI aude E Middle lnilial Firsl Home Street Address Number P.O. Box # Municipalily State zip Social Security numbet - Date ot birttr Home telephone number Exchange Number Exchange Number Office telephone number Number ot shares ol business owned or conlrolled Partner Check posrtion that applies: Sole owner Stockholder -'v Presrdenl Vice-President _ Secrelary zl
mber Exchange Number Office telephone number Number ot shares ol business owned or conlrolled Partner Check posrtion that applies: Sole owner Stockholder -'v Presrdenl Vice-President _ Secrelary zl ireasurer Director Receiver Agenl Ad min istrator Executor/ Ia - Trustee - Manager Beneiiciary Olher (specily) o./o - -
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