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• <br /> • <br /> L NEW ACCOUNT INFORMATION Financial Institution Name and Address <br /> THE FIRST NATIONAL BANK OF DURANGO <br /> } MAIN OFFICE <br /> PO BOX 2910 <br /> OATE,1/19/17 DURANGO, CO 81302 <br /> Check if applicable: ❑TEMPORARY ❑REPLACEMENT 1 <br /> ACCOUNT INFORMATION ACCOUNT NUMBER 2 84 3 8 <br /> AMOUNT OF DEPOSIT $ 5,460 . 00 ACCOUNT T.I.N. 81-4601941 <br /> TITLE OF ACCOUNT Sunrise Mining LLC <br /> Assigned to State of Co Mined Land <br /> Reclamtion Board PDPA#010004005101 <br /> 1313 Sherman St Room 215 <br /> Denver CO 80203-2243 <br /> OWNERSHIP TYPE Limited Liability <br /> PRODUCT NAME CD 12M0 - 24M0 <br /> Words,rxanbers or phrases preceded by a❑are applicable only wtrerr marked,i.e.,❑X . Opened By ABROWN <br /> BUSINESS ENTITY INFORMATION BUSINESS FILING STATE <br /> BUSINESS NAME AND ADDRESS ENTITY DOCUMENT <br /> Sunrise Mining LLC LAST FILING DATE <br /> Assigned to State of Co Mined Land FILING EXPIRATION <br /> 1313 Sherman St Room 215 DATE ESTABLISHED <br /> Denver CO 80203-2243 NATURE OF BUSINESS <br /> PRIMARY LOCATION <br /> ASSUMED NAME IF D/B/A RESOLUTION DATE <br /> E-MAIL ADDRESS jnielsen@diamondhillfarms c <br /> CONTACT NAME FACSIMILE AUTHORIZATION ON FILE ci YES El NO <br /> CONTACT TITLE LIMITED LIABILITY COMPANY TAX CLASSIFICATION <br /> CONTACT PHONE (303) 866-3567 BUSINESS ENGAGES IN INTERNET GAMBLING* ❑ <br /> If box is checked you must provide evidence of authority to engage in <br /> OTHER Internet Gambling. <br /> SIGNER#1 INFORMATION TAX ID NUMBER <br /> NAME AND ADDRESS DATE OF BIRTH <br /> Virginia Brannon ID TYPE <br /> ID NUMBER <br /> ID ISSUED BY <br /> ID ISSUING LOCATION <br /> TITLE/CAPACITY Division Director ID ISSUE DATE <br /> PRIMARY PHONE ID EXPIRATION <br /> SECONDARY PHONE E-MAIL ADDRESS <br /> SIGNER#2 INFORMATION TAX ID NUMBER <br /> NAME AND ADDRESS DATE OF BIRTH <br /> ID TYPE <br /> ID NUMBER <br /> ID ISSUED BY <br /> ID ISSUING LOCATION <br /> TITLE/CAPACITY ID ISSUE DATE <br /> PRIMARY PHONE ID EXPIRATION <br /> SECONDARY PHONE E-MAIL ADDRESS <br /> SIGNER#3 INFORMATION TAX ID NUMBER <br /> NAME AND ADDRESS DATE OF BIRTH <br /> ID TYPE <br /> ID NUMBER <br /> ID ISSUED BY <br /> ID ISSUING LOCATION <br /> TITLE/CAPACITY ID ISSUE DATE <br /> PRIMARY PHONE ID EXPIRATION <br /> SECONDARY PHONE E-MAIL ADDRESS <br /> SIGNER#4 INFORMATION TAX ID NUMBER <br /> NAME AND ADDRESS DATE OF BIRTH <br /> ID TYPE <br /> ID NUMBER <br /> ID ISSUED BY <br /> ID ISSUING LOCATION <br /> TITLE/CAPACITY ID ISSUE DATE <br /> PRIMARY PHONE ID EXPIRATION <br /> SECONDARY PHONE E-MAIL ADDRESS <br /> Completes System kr 2000 2015 ITEM 015041 00120151 Page 1 of 2 w i oorplaneesystenu cam <br />