Filing Letter to Board in Response to M Bennett Email with Exhibits 12 02 2024

Page'10.\ PLEASE TYPE OR PFIINT ALL INFOFIMATION STATE ASSIGNED LICENSE NUMBEF 2020 33.027._!Er. ALL APPLICANTS ANSWER THE FOLLOWING IADD PAGES AS NECESSARY] SOLE OWNEFS AND PARTNEHSHIPS: Complete the page in full. LIMITED PARTNEHSHIP: AII inlormation about a geneial partner or parlners ol a limiteq partnership must be reported, whether the general parlner is an individual or a corporalion. A list ol the names and addresses ol all limited partners must be submilted as an atlachment lo this applicalion with an idenlitication of the percentage of each llmited partner as it relates lo total ownership ol the business entity to be licensed. CORPORATIONS: All corporatlon applicants or licensees and any corporation that has an ownership inleresl in the corporation under license or to bs licensed must have been reporled on page 10. lntormation on this page, '10A, willidentify all otflcers, dlrectors, and stockholders holding one percent or more of the shares of the respective company. Club licenses must list names ol officers and directors and attach a currenl membership llst. ** * *lr*** *** * * ** * * ************ **** ** **** ** **** *************** ***********:t NAME OF CORPORATION OR CLUB COVEBED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP). Echo La TO AIJI) Name ol ifrdividual (lasl name first), stockholder, pSrtner:, gfficer or director: Molowa David Middle loilial Last Name Home Street Address Number P.O. Box 7i^ # State M unicipality Date ol Social Security number - 6irth Home lelephone number Area Exchange Number Exchange Number Olfice telephone number Number of shares o/o of business owned or conirolled Partner Stockholder Ireasurer Direclor Secretary - Sole owner Check position Ihat applies: President Vice-President Truslee Agent IL Manager (specily) Beneficiary Other - Name ol indiviCual (lasl narne firsl): Executor/Administrator - Receiver TO ADD David Lt-e berman Middle lnitlai Last Nam6 Home SIreet Address Number P.O. Box # ,,^ _ Municipality State Date of birth Social Security n umber (_) Home telephone number Exchange Number Exchange Number Ollice lelephone number Number of shargs o/o of business own€d or controlled Check position lfrat

e of birth Social Security n umber (_) Home telephone number Exchange Number Exchange Number Ollice lelephone number Number of shargs o/o of business own€d or controlled Check position lfrat applies: Stockholder Partner Director Secretary Treasu.er Vice-President Receiver Agent Executor/Administralor Manager - Presidenl Ia - Trustee - Bene,iciary -. - Sole owner Olher (specify) - - - - -