APPCOR10191

• Permit No: C1980002
• IBM Index Class Name: Application Correspondence
• Doc Name: ATTACHMENT A AML CONTRACTOR OWNERSHIP AND CONTOL INFORMATION PACKAGE
• Media Type: D
• Archive: No

9. Identify below all persons who have the authority or ability
to commit the financial, real estate or working assets of the
contractor who are not otherwise identified in item 7, as
owners, officers, or directors of the contractor. 773.5
Name
Mailing Address
City
Phone Title
SSN
Name
Mailing
City _
Phone _
SSN
Address
State
Date
EIN
Title
State
8 of Ownership
Zip
Position Assumed
~ of Ownership
Date
EIN
Zip
Position Assumed
10. Identify any other relationship, if any, (not listed in 7, B,
9) which gives one person authority directly or indirectly,
to determine the manner in which the contractor, subcontractor
or any other entity conducts the AML Reclamation Project.
773.5
Name
Mailing Address
City State
Phone Title
SSN
~ of Ownership
_ Date Position Assumed
EIN
Name
Mailing Address
City
Phone
SSN
~ of Ownership
Title
State Zip
Date Position Assumed
EIN