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If a corporation, answer this: <br />Amount for which incorporated......................................................................................... <br />Capitalpaid in cash......................................................................... $ ........................ <br />When incorporated ...........January 7, 1937......................................................................... <br />Inwhat state ..................Indiana.................................................................................... <br />Names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other <br />business for the corporation, including its officers, the signatures of whom are legally binding. <br />------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br />Brian T. Larson, President <br />Nick D. Larson, Vice-President/Asst. Secretary -Treasurer <br />------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br />Jeff R.Jensen, Vice-President/Secretary-Treasurer <br />------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br />Patrick S. Lockwood, Vice -President <br />David J. Merkel, Vice President <br />Do you have necessary "certificate of authority" to transact corporate business in this state, under the terms of <br />Chapter 215, Acts of 1929, and acts amendatory thereto? ............Yes ....................................... <br />If a co -partnership, answer this: <br />Dateof organization...................................................................................................... <br />State whether co -partnership is general, limited or association..................................................... <br />Give the names, addresses and proportional interests of all parties: <br />Name Address Share <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />................................................................................................. $.................................... <br />14 <br />