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Water Supply Reserve Account – Grant Application Form <br />Form Revised May 2007 <br />_______________________________________ <br />Part A. - Description of the Applicant <br /> (Project Sponsor or Owner); <br />1. <br />Applicant Name(s): <br />Bauer Lake Water Company <br />c/o Bob Scott, Treasurer <br />Box 1045 <br />Mailing address: <br />Mancos, CO 81328 <br />bob@sundancebear.com <br />084-0964609 <br />Taxpayer ID#: <br />Email address: <br />Phone Numbers: Business: <br />970-533-1504 <br /> Home: <br /> Same <br /> Fax: <br />970-533-1507 <br />Person to contact regarding this application if different from above: <br />2. <br />Glen Humiston, 40334 Hwy 184 <br />Name: <br />Mancos,CO 81328 <br />President <br />Position/Title <br />3.Provide a brief description of your organization below:see “Description of Applicant” in Part 2 of Criteria and <br />Guidance for required information. <br />Private, shareholder based company. We have 24 members, 87 shares, <br />1532 acre feet in the reservoir, with each share representing 15 acre <br />feet and 227 acre feet buffer. We have an annual assessment of $140 <br />per share for operations, plus loan payments (variable by distance to <br />their location and shares). No future growth plans. The Articles of <br />Incorporation are dated March 12, 1924. (See attached Certificate of <br />Incorporation) <br />4.If the Contracting Entity is different then the Applicant (Project Sponsor or Owner) please describe the <br />Contracting Entity here. <br />2 <br />