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SUPPLEMENTAL <br />• <br />• <br />NOTE: The responsible agency(ies) will provide additional instructions CHECK APPROPRIATE <br />BLOCK <br />I - PRIVATE CORPORATIONS ATTACHED FILED" <br />a. Articles of Incorporation 1 C) <br />b. Corporation Bylaws <br />c. A certification from the State showing the corporation is in good standing and is entitled to operate within the State. C3 13 <br />d. Copy of resolution authorizing filing 0 0 <br />e. The name and address of each shareholder owning 3 percent or more of the shares, together with the number and percentage of any <br />class ofvoting shares of the entity which such shareholder is authorized to vote and the name and address of each affiliate of the entity <br />together with, in the case of an affiliate controlled by the entity, the number of sbares and the percentage of any class of voting stock of <br />that affiliate owned, directly or indirectly, by that entity, and in the case of an affiliate which controls that entity, the number of shares <br />and the percentage of any class of voting stock of that entity owned, directly or indirectly, by the affiliate. <br /> <br />Q <br /> <br />a <br />f. If application is for an oil or gas pipeline, describe any related right-of-way or temporary use permit applications, and identify <br />previous applications. <br />L3 <br />g. Ifapplication is for an oil and gas pipeline, identify all Federal lands by agency impacted by proposal. <br />II - PUBLIC CORPORATIONS <br />a. Copy of law forming corporation El ? <br />b. Proof of organization C) Cl <br />c. Copy of Bylaws Q Q <br />d. Copy ofresolution authorizing filing Q <br />e. If application is for an oil or gas pipeline, provide information required by Item "I-f" and "I-g" above. <br />III - PARTNERSHIP OR OTHER UNINCORPORATED ENTITY <br />a. Articles ofassociation, ifany El <br />b. if one partner is authorized to sign, resolution authorizing action is <br />c. Name and address of each participant, partner, association, or other <br />d. If application is for an oil or gas pipeline, provide information required by Item "I-f" and "I-g" above. <br />• If the required information is already filed with the agency processing this application and is current, check block entitled "Filed." Provide the file identification <br />information (e.g., number, date, code, name). If not on file or current, attach the requested information. <br />The Paperwork Reduction Act of 1995 requires us to inform you that <br />The Federal agencies collect this information from applicants requesting right-of- <br />way, permit, license, lease, or certifications for the use of Federal lands. <br />Federal agencies use this information to evaluate your proposal. <br />No Federal agency may request or sponsor, and you are not required to respond to <br />a request for information which does not contain a currently valid OMB Control <br />Number. <br />BURDEN HOURS STATEMENT <br />The public burden for this form is estimated at 25 hours per response including <br />the time for reviewing instructions, gathering and maintaining data, and <br />completing and reviewing the form. Direct comments regarding the burden <br />estimate or any other aspect of this form to: U.S. Department of the Interior, <br />Bureau of Land Management (1004-0189), Bureau Information Collection <br />Clearance Officer (WO.630), 1849 C Street, N.W., Mail Stop 401LS, <br />Washington, D.C. 20240 <br />A reproducible copy of this form may be obtained from the Bureau of Land <br />Management, Land and Realty Group, 1620 L Street, N.W., Rm. 10061-S, <br />Washington, D.C. 20036. <br />. (Continued on page S) <br />SF-299, page 4