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14 <br />If a corporation, answer this: <br /> Amount for which incorporated …………………………………………………………………………….. <br /> Capital paid in cash ………………………………………………………………. $ …………………… <br /> When incorporated ………..January 7, 1937………………………………………………………………. <br /> In what 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 />Brian T. Larson, President <br />Nick D. Larson, Vice-President/Asst. Secretary-Treasurer <br />Jeff R. Jensen, Vice-President/Secretary-Treasurer <br />Patrick S. Lockwood, Vice-President <br />David J. Merkel, Vice President <br /> <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 /> <br /> <br />If a co-partnership, answer this: <br /> Date of 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 />…………………………………... ………………………………………………. $ ………………………………