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

Page 10A LEASE rypE oR pBrNT ALL INFoBMATIoN srArE ASSTGNED LlcENsE NUMBEFT 202Q 33 - 027_i0l. ALL APPLICANTS ANSWER THE FOLLOWING IADD PAGES AS NECESSAFIY] SOLE OWNERS AND PARTNEHSHIPS: Complete the page in lull. LIMITED PARTNERSHIP: All iolormalion aboul a geneial parlner or partners ol a limited pa.tnership must be reported, whether the general parlner is an individual or a corporalion. A list ol the names and addresses o, all limiied parlners must be submjtted as an altachment to this applicalion wilh an identi,icalion of the percenlage ot each limited partner as il relates to total ownership of the business entity to be licensed. COFIPOBATIONS: All corporation applicanls or licensees and any corporation that has an ownership interesl in the corporation under license or to be licensed musl have been reported on page 10. lntormation on this page, 10A. willidentily all oflicers, directors, and siockholde.s holding one percent or more of the shares ol the respective company. Club licenses must list names of officers and directors and attach a current membership lisl. **i*********************************************************tt********** NAME OF COBPORATION OR CLUB COVEFiED BY THIS PAGE {COMPLETE ONLY IF APPLICANT OR STOCKHOLDEF IS A CORPOBATION OR PARTNERSHIP). Echo Lake Countrv Club TO TDD Name of individual (last name first), stockholder, partler, o-ttiCe. or director E. Davld Nowicki Middle hilial Lasl Name Home Street Address Number P.O. Box # State M unicipality zip Date ol birlh Social Securily number Home lelephone number Number Exchange Oflice telephone number o/o Area Erchanqe Number Number of shares ot business owned or controlled Pa(lner Stockholder Treasurer Director Secrelary - Sole owner Check posilion that applies: Vice-President -X- President Agent 4L Trustee - Manager (speci,y) Beneliciary Other - Executor/Administralor - Receiver - - TO ADD Name ol individual {lasl name tirsl) Last Name - Middle hilial Firsl Home Streel Address SIreel Name Number P.O. Box # State M unicipality Zip Dale of birth Social Security num ber - Home telephone number --- Exchange Oftice telephone num ber ) Exchange Number Number of shares ot business owned or controlled Stockholder Partner Sole owner Check position lhat

ity num ber - Home telephone number --- Exchange Oftice telephone num ber ) Exchange Number Number of shares ot business owned or controlled Stockholder Partner Sole owner Check position lhat applies: Treasurer Direclor Secretary Presidenl Vice-President Receiver Executor/Administralor Agent IL - T.ustee - Manager Beneliciary OIher (specify) - o/o - -