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Twin Pines Investment Limited Partnership <br />Falcon Energy, Inc., General Partner <br />2 .Pertnershlp Principal Office Addr~ treat) 3. City 4. State 5. Zip Code <br />Fremont County Road 86 2~ Miles SW of Rockvale Colorado 61249 <br />e. Names of Partners D. Street Address c..City d. State e. Zip Code <br />Falcon Energy, Inc.' P. O. Box 2050 Canon City Colo 81212 <br />James Mezo ~~ Rt. 4, Lake Benton Benton ILL 62812 <br />Dale V. Rose ~~ 304 Bucanan Benton ILL 62812 <br />Jack L. Barton :~ Suite 201, 100.0ak13 To er Nashville Tn 37204 <br />Section III. Corporation <br />1. Official Corporation Namels) 2. State of Incorporation <br />Falcon Energy, Inc. , General Partner Colorado <br />3. Corporation Principal Office Addrea (strlletl 4. City ~ 5. State 6. Zip Code <br />Fremont County Rd. 86, 2} Miles SW of Rockvale, Colorado 81244 <br />e. Name! o/ Corporation <br />Officers and Directors li Title c. Stree[ Addre» d. Cit <br />y e. State f. Zip Code <br /> <br />Dale V . Rose <br />James Mezo La <br />r. a wryumuun a ouosiaiaryr <br />Ves QC No <br />If yes, give name and address of parent <br />corporation. <br />tl. nem! BOO AOUrefi tlr YareOL GOrpOreflOO <br />Section IV. Other <br />1. Off icial Business Name of Organization 2. Type of Organization <br />3. Principal Office Address (street) ,. 4. City 5. State 6. Zip Code <br /> <br />e. Names of Principal Organization <br />Officials or Members <br />~b Title <br />.d; <br />c.. Street Address <br />d. City <br />e. State i <br />f. Zip Code . <br />i, <br />._. ~ <br /> ..~~ <br />~1 <br /> ~~~ <br />~.l <br />~: <br />p. Nemm of Individuals with Ownershlpi <br />Inter®U in Organization Ij h, Street Address i. Cit <br />Y <br />j. State <br />k. Zip Code <br /> <br /> <br /> <br />•ll~ <br />i p <br />r'I 1 <br />1; <br />