HomeMy WebLinkAboutMunicipal Property Corporation - Annual Reports (16) J�.. T
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i
�R�RCOMMISSIONERS BRIAN C.MCNEIL
• O
JEFF HATCH-MILLER-Chairman Executive Secretary
WILLIAM A.MUNDELL
Z•
MARC SPITZER DAVID RABER
MIKE GLEASONDirector, Corporations Division
KRISTIN K.MAYES ARIZONA CORPORATION COMMISSION
CORPORATIONS DIVISIONJUL 13'05PM TOV
1300 West Washington
Phoenix, Arizona 85007-2929
THE TOWN OF ORO VALLEY MUNICIPAL PROPERTY CORPORATION
% KATHRYN E CUVELIER
11000 N LA CANADA
ORO VALLEY
AZ 85737- Effective Date : 07/11/2005
File No : -0760926-0
Original Due Date : April 18 , 2005 Received: 04/29/05
your have deposited osited check, however your annual report is being
returned for the following reason (s) :
Non-profit Corporations must complete section 9A
per A.R. S . 10-11622 .A. 6 .
NOTE: PURSUANT TO A.R.S. 10-1622 .F.
TO
AVOID PENALTIES AND POSSIBLE ADMINISTRATIVE DISSOLUTION, THIS
REPORT MUST BE RETURNED WITHIN 30 DAYS AFTER THE EFFECTIVE DATE OF
THIS NOTICE TO BE DEEMED TIMELY FILED.
* * IMPORTANT * *
TO SUCCESSFULLY PROCESS YOUR DOCUMENT, IT IS IMPERATIVE THAT YOU
RETURN:
1) A COPY OF THIS LETTER,
2) ANY ANNUAL REPORT (S) WHICH ACCOMPANIED THIS LETTER,
(CORRECTIONS MADE)
3) ANY OUTSTANDING FEE,
4) ANY OUTSTANDING PENALTY FUNDS
AR: 0021
REV. 04/2000
1300 WEST WASHINGTON,PHOENIX,ARIZONA 85007-2929/400 WEST CONGRESS STREET,TUCSON,ARIZONA 85701-1347
www.cc.state.az.us-602-542-3135
T ICICI COMMISSION ......... .....„„f. ,Lnitifuss ion
CORPORATION ri,fL
.,., t ,S,� 11
11111111111 111111111111111111111111111111111
"
& CERTIFICATE OF DISCLOSURE 01199789
44iiiiiill
1199789
i• fl
DUE ON OR BEFORE 04/3.8/2005 FYO4-05 FILING FEE $10.uU
Is required re A.R.S. § 101 &10-11 for all corporations organized pursuant to Arizona Revised
TheSlafollo�nrin�informationr� � form is A.R. 1Q-121.A. & '#�3123.A.
t u�, Title 10. The Commission's a uthar ity to prescribe thisInformation
PORT MUST BE SUBMITTED ON THIS ORIGINAL FORM. Make changes or corrections where necessary.
YOUR R�
for the report shouldreflect the current status of the corporation. 4 for formaton pagepro
)/j y�inY � TOV
���] f •• js7 f}FEB '[� •� 1 •�
1.
-0760926-0 .
TIM TOWN OF ORO
VALLEY MUNICIPAL P O 4� RECEIVED
% KATHRYN E CUJVEJ.IE&R
11000 N LA CANADA11 2413
ORO Y. AZ 85737
SPR 2 9 2005 MAR 0
COMMISSION ip CORP COMMISSION
ARIZONA CORP. - ; ION RATIONS oiV S
(Business . • s opt l.)
BusinessPhone: -
State of Domicile: ARIZONA Type of Corporation: NON-PROFIT
2. Statutory Agent r KATHRYN 3 CIATELLIER physical Adak.ss t if Diff event.
bailing ress: 11000 N IA CANADA Physical Address:
city, state, zip: oao vAI.raY, AZ 85737 City, State, Zig:
Pail)4 v L)Lc55--vo . .._ ..Ds
se this box way if appointing a new Statutory g►n
ACC USE ONLY - ,�w.._..._ �"_ _""� •
��_..ems�� v..�� •
Fee $_ _ _
if appointing a new slatvtay fit, the new agent MUST consent to that
appointment by signing below.
Penalty $ 4 or We.(corporation or y any)having been designated the CAW Statutory Agent.
R
do hereby consent to this appantment until my removal or resignation pimsuant to law.
Expel Signage of r�ewS Statutory Agent -
Resubmit$
•
- I io . 41 , Prated Nacre of new Sbzflubry Aged
3. secondary Aldtlre- - --•... -------------......__..... ._.---._._....
RECEIVED .
(ForeiTI CorPO►a#ions are APR 2 9 2005
tEQL!. to corn ARIZONA CORP. *
Sss� ,
this seCtion • CORP.CORPORATIONS DIVMSIOI`,
4. Check the one category below which best describes the CHARACTER OF BUSINESS of your corporation.
OUS NESS CORPORATIONS
NOt.i- SIT CORPaRAitON
20. Manufacturing--�. 1.AcoaurAccounting1. _ Charitable�. -Benevolent�� w . wi"+> g 3. _ Educational
_3.Aerospace __..2;2. News Mack&
4.AgritLkUfe _23. Pharmaceutical 4. _ Civic
5.Architenture _„„24. Publishing/Printing 5- _Political
_ 6.Banking/Finance _25. Raric ring&vestock 6.: Religious
--
7.Barbers/Cosmetology _26. Real Estate -
Social
_ g.Construction -27. Restaurant/Bar 8- - Literary
9.Contractor `28. nekai Sallee • 9. _Cultural
10.Cred -29. 10. - Athletic
`_11.Education -30. SportsiSporting Events 11. _ Science/Research
31.Tec tr ptters) 12. __ - ttalth Cam
y 12.Eng�ec�rr8 -
13.Entertainment _32.T General 3 13_ _ Agricultural
_14.General Consulting _33.TelevIslor Io 14. __._Animal Husbandry
15.Health Care _34. Tourism/Convention Services 15. Homeowner's Association
15.HoteltMotel -35. Tans alion 16. _ Professional,cornmerrial
_-17.Impod/Eart _36- Utilities irtalrial or trade association
-16.Insurance _37. Veterinary Medicine/Animal Care
17. '74,. Other r .va ct.ifyed
__19.Legal Services -38-
B s�ness Corporationsend Susfness Trusts REQUIRED to complete this seri Of.�
S. �AP�T�LI�4�'10l'��U � evidencingtheir ber<e#'�ci�►l Interest in
Business trust m u
st indicate the number of transferable certificates held by trustees
the trust
estate. Please Print or Type Clearly.
,5a. Please examine the corporation's original ori inal Articles of Incorporation for the amount of shares authorized.
Number of Sh,aresCerfificates Authorized Glass Series Within Class cif any)
5b. Review all corporation amendments ndm to determine it the original number at'shares has changed. Examine the
corporation's minutes for the number of shares issued.
Number of Shares/Certificates issued Class Series Within Class(if any)
. Business Trusts. ane fg ��to complete this section.)�.�}iAi�� fll� LBuSaneSS rporo�s ar��t�si���. �
_ the corporation,-or having more than a0
shareholders holdingmore than 20% of any class of sharesissued iSSued
List S
beneficial interest in the corporation. Please Type or Print Clearly.
Name: Name:
NONE 1:1
Name: moi
Please or Print Clearly. You Must List at a$t One.
1. OFFICERS �s
Name:
Name: tvb
-- Title. -- -
, - 7 37Address. ro
f 0(0 S � S
Address:_ _ _ -
Date taking office: /C) 1 Date taking office:
to
Vehrix-A-o risme:
Title: _ Title:
Address: O ki A
"1-.' 0-7
Are :
.
Date
takingoffice: Date taking office: - - -
&DIRECTORS Please Type or Print Clearly. You Must List at Least One.
Name: sTEPIUM LUCAs Nam
Address: 10982 N. BL&CM CANYON C Address. 10954 N. POMEGRANATE DRIVE
ORO VBY AZ 85737 � •i� LL � $ 7
Date taking office: 10/1/04 • Date taking office:
- - -, .- --..-
Name: THIS 1.vETRAN0 Name:
Address: _ 0415 ii. PE Address:
• + T
Date taking otfiice.
• � Date taking office: _
I
•
TOWN OF ORO VALLEY MUNICIPAL PROPERTY CORPORATION
FILE NUMBER 0760926-0
FISCAL YEAR 200312€0+4
BALANCE SHEET
SETS
Current Assets:
Cash $ 32,452,909
Trade notes and accounts receivable
(less allowance of bad debts) 1,611,250
Inventories
Other
n ntories
r current assets 5,014,903
Total Current Assets $ 39,079,062
Land, buildings and other fixed assets
(net of accumulated depreciation) 50,711,438
Other assets
Total Assets $ 89,790,500
L1_8_81 _NAME
Current Liabilities:
Accounts Payable $ 510,122
Mortgages,notes, bonds(payable in less than 1 year) _ 1,402,649
Other current liabilities 2167,420
Total Current Liabilities $ 4,080,191
Mortgages, notes, bonds(payable in more than 1 year) 64,269,371
Fund Balances:
Restricted _ 3,492,488
Unrestricted 17, ,4
Total Fund Balances 21,440,938
Total Liabilities and Fund Balances . $ 89,7901500
9. VINIANCiAt.DISCLOSURE(A.R.S.§10-11622.A.9)
1)
Nonprofit corporations must attach a financial stateni �
eft , income/expense statement,balance sheet including assets,liabilities). All other
�e.
forms of corporations are exempt from filing a financial disclosure,
DA. MEMBERS A.R.S.§ 10-11622.AS
Only Nonprofit Corporations must answer this question. This corporation DOES r 72 DOES NOT have members.
10. CE TIFI ATE 3F iS SURE(A.R.S.§§10-1622.A.8& -10-11622.A.7)
rias ANY
person servingeither by election or appointment as an officer,director,trustee,Incorporator arldiOr more
than 10%of t e issued and out ndi n! corn on 'hares or 10%of an oth- •ro•rbeneficialbencial or m embershl• interest in the .lion
[Underlined portion pertains to business corporations only)
1. Convicted at a felonyinvolves a transaction in securities,consumer fraud or antitrust in any state or federal jurisdiction within the seven
year period immediately preceding the execution of this cert cate?
? convicted of a felony,the essential elements of which consisted of fraud,misrepresentation,theft by false pretenses or restraint of trade
or monopoly in any state or federal Jurisdiction within the seven year period immediately preceding execution of this certificate?
3. Or are subiect to an injunction,judgment,decree or permanent order of any state or federal court entered within the seven year period
Im m ed iatel preceding execution of this certificate where such injunction,judgment,wee or permanent order involved the violation of:
Y
(a)fraud or registration provisions of the securities laws of that jurisdiction,or
(b)the consumer fraud laws of that Jurisdiction,or
(c)the antitrust or restraint of trade laws of that jurisdiction?
One box must be marked: YES Cl Nom-
"YES",YES ,the following information. be subnnitted as an attachment to this report for each person subject to one or more
)f the actions stated in Items 1. through 3. above.
1. Full name and prior names used. 5. Date and location of birth.
2. Full birth name. 8. Social SeCurity Nomber
3. Present home address. 7. The nature and description of each conviction or judicial action;
4. Prior addresses(for immediate the date and location;the court and public agency Involved,and
preceding 7 year period). the the or cause number of the case.
It.STATEM NT OF BANKRUPT YRECEIVERSHIP or CHARTER R VOCATION(AiLS.§§10-202.D.2, 1O-3 .D.2,
1623& 10-11623) •
• • or appointed a receiver? One box must be marked: YES �7 NO gl
�� the corporation filed a petition for bankruptcy �p�
3)Has any person serving as an officer,director,trustee or Incorporator of the corporation served in any such capacity OR held or controlled
aver 20% of the issued and outstandi • common shares or 20% of . other •_,e,• let. beneficial or m. berth'. interest in a other
ration which has been placed in bankruptcy,receivership or had its charter revoked,or administratively or judicially dissolved by any state
x jurisdiction?
i corporationsonly) One box be marked: YES Li No
:Underlined portion pertains to business
If"YES"to A and/or 8, the following Information imust b s m as an attachment to this report for each person subject to the
-.
statement above.
T1-7---.The-rrarnes-and-addfesses of each co tion and the person or persons Involved. (e.g. officer, director, trustee or.major
stockholder)
2. The state In which each corporation was a) incorporated b)transacted business. •
3. me dates of corporate operation.
4. If any involved person (listed in#1)has been involved in any other bankruptcy proceeding within the past year, the name and
mess of each corporation.
5. Date, Case number and Court where the bankruptcy was filed or receiver appointed.
6. Name and address of court appointed receiver.
12. Si NATURES An__ a its must tie •ned and dated • at I: one dui authorized o icer or th:' will be re ected.
declare, under penalty of law that all corporate Income tax returns required by Title 43 of the Arizona Revised Statutes have been
filed with the Arizona Department of Revenue. 1 further declare under penalty of law that t(we)have examined this report and the
aerttficate, Including any attachments,and to the best of my(our)knowledge end belief they are true,correct end complete.
Name STE :4 LU . Date Name . BOW _Date
`, . 1 ..� Lr
Si nature : _ _ Signature
Title PRESIDENT Title SECRETARY
(Sigrtator(s)must be duly authorized corporate officer(s) listed In section 7 of this report.)
STATE OF ARIZONA CARP°
2, tion '?:1�;
'.410111\AT
„AT�E�, CORPORATION COMMISSION .;', y _. _+'b
�I �, �-=-
I CORPORATION ANNUAL REPORT 01-
,r & CERTIFICATE OF DISCLOSURE ''S-T�gt2«S�o,,
'� 1912
DUE ON OR BEFORE 04/1812005 P O -0 FILING FEE $10.0 0
The following information is required by A.R.S. §§10-1622 &10-11622 for all corporations organized pursuant to Arizona Revised
Statutes, Title 10. The Commission's authority to prescribe this form is A.R.S. §§10-121.A. & 10-3121.A.
YOUR REPORT MUST BE SUBMITTED ON THIS ORIGINAL FORM. Make changes or corrections where necessary. Information
for the report should reflect the current status of the corporation. See instructions on page 4 for proper format.
1. -0760926-0
THE TOWN OF ORO VALLEY MUNICIPAL PROPERTY CORPORAT
KA.THRYN E CUITELIER
11000 N LA CANADA
ORO VALLEY, AZ 85737
Business Phone: LiBusiness phone is optional.)
of Domicile: ARIZONA Type Y pe of Corporation: NON-PROFIT
2. Statutory Agent: KATHRYN E CUVELIER Physical Address, If Different.
Mailing Address: 11000 N LA CANADA Physical Address:
City, State, Zip: ORO VALLEY, AZ 85737 City, State, Zip:
Use this box only if appointing a new Statutory Agent
ACC USE ONLY
Fee $
If appointing a new statutory agent, the new agent MUST consent to that
appointment by signing below.
Penalty $
I, (individual)or We, (corporation or limited liability company)having been designated the new Statutory Agent,
Reinstate $ do hereby consent to this appointment until my removal or resignation pursuant to law.
Expedite $
Signature of new Statutory Agent
Resubmit$
Printed Name of new Statutory Agent
3. Secondary Address:
(Foreign Corporations are
REQUIRED to complete
this section).
4. Check the one category below which best describes the CHARACTER OF BUSINESS of your corporation.
BUSINESS CORPORATIONS NON-PROFIT CORPORATIONS
1.Accounting _20. Manufacturing 1. _ Charitable
_ 2.Advertising _21. Mining 2. _ Benevolent
_ 3.Aerospace _22. News Media 3. Educational
4.Agriculture _23. Pharmaceutical 4. _ Civic
_ 5.Architecture _24. Publishing/Printing 5. - Political
_ 6.Banking/Finance 25. Ranching/Livestock 6. _ Religious
_ 7.Barbers/Cosmetology _26. Real Estate 7. _ Social
8.Construction 27. Restaurant/Bar 8. ` Literary
9.Contractor _28. Retail Sales 9. _ Cultural
_10.Credit/Collection _29. Science/Research 10. _ Athletic
_11.Education !30. Sports/Sporting Events 11. _ Science/Research
12.Engineering _31. Technology(Computers) 12. - Hospital/Health Care
_13.Entertainment _32. Technology(General) 13. _ Agricultural
_14.General Consulting _33. Television/Radio 14. _ Animal Husbandry
_15.Health Care _34. Tourism/Convention Services 15. _ Homeowner's Association
_16.Hotel/Motel _35. Transportation 16. - Professional,commercial
17.Import/Export 36. Utilities industrial or trade association
18.Insurance _37. Veterinary Medicine/Animal Care 17. Other
19.Legal Services _38. Other
COMMISSIONERS aP�AFo
JEFF HATCH-MILLER -Chairman
BRIAN C.MCNEIL
WILLIAM A.MUNDELL
MARC SPITZER VF�+rr: �s� Executive Secretary
MIKE GLEASON DAVID RABER
I3i2
KRISTIN K.MAYES ARIZONA CORPORATION COMMISSION Director. Corporations Division
1) QUESTION: Are financial disclosures still required?
ANSWER: Business corporations no longer need to submit a
financial disclosure. Only nonprofit corporations must file financial
disclosure forms. See instructions on page four, section 9 of the ,
Annual Report. Note: For the purposes of the Corporation QUESTIONS AND
p p rp rp ion
Commission, a corporation's own fiscal year is not relevant if they ' ANSWERS:
are no longer required to file a financial disclosure.
ANNUAL REPORTS
2) QUESTION: Why Can't I Use My Own Form?
ANSWER: Pursuant to A.R.S. §§ 10-121.A & 10-3121.A,
Annual Reports,"...shall be made on the forms that are prescribed
and furnished by the commission." Other forms will not work with
our computerized imaging system. Inthe past, when the Division tried allowing privately generated forms, too many instances
occurred where the public was illegally manipulating the verbiage on the forms(via various omissions and unauthorized changes).
Staff was forced to scrutinize the privately generated Annual Report form word-by-word looking for illegal substitutions or
additions. Incomplete reports were running at over 50%. The errors,problems and delays resulting from the private forms were
enormous. Recent audits of the Corporations Division cited non-commission forms as a major problem and suggested their
elimination.Extra copies of the annual report form are available. They can be picked up,mailed or faxed to corporations. Please
allow 24 hours to process your request.
3) QUESTION: Does the public have access to copies of the annual report?
ANSWER: Yes. The annual report is part of the official public record, including addresses cited. Do not include your social
security number, unless you answer "yes"on the certificate of disclosure on page three of the annual report.
4) QUESTION: Are there certain parts of the annual report form I am not allowed to update?
ANSWER: Yes,a corporation cannot change its annual report due date,fee, filing number, state of domicile or corporate name
on the annual report form. Contact the Commission if you have a problem with any of these areas.
5) QUESTION: The annual report for our corporation was returned to us for a correction. The notice states we have 30
days to make the correction. What if we previously had an extension? Do we get more than 30 days?
ANSWER: NO,A.R.S. §§ 10-1622.E & 10-11622.D state the corrected reports must be"...delivered to the commission within
thirty days after the effective date of the notice, [if] it is deemed to be timely filed." Extensions are only relevant for the initial
report filing,not subsequent correction notices. Business Corporations begin to accrue penalties pursuant to A.R.S. § 10-1622.6.
if the corrections are not made within the 30 day period.
6) QUESTION: What is the annual reports section's phone number?
ANSWER: Phoenix: (602) 542-3285, or FAX (602) 542-0082. Tucson: (520) 628-6560 or FAX (520) 628-6614.
. . :: t •
Corporations Beware..
The Arizona Corporation Commission is NOT affiliated with "The Corporate Compliance Center". Watch
out for their mailing. It will look very similar to the Commission's Annual Report Form. Submitting monies
to them is not advised.
1300 WEST WASHINGTON.PHOENIX.ARIZONA 85007-2929/400 WEST CONGRESS STREET.TUCSON.ARIZONA 85701-1347
www.cc.state.az.us-602-542-3135
ARCVLTR
REV:01/05
TOWN OF ORO VALLEY MUNICIPAL PROPERTY CORPORATION
FILE NUMBER 0760926-0
FISCAL YEAR 2003/2004
BALANCE SHEET
ASSETS
Current Assets:
Cash $ 32,452,909
Trade notes and accounts receivable
(less allowance of bad debts) 1,611,250
Inventories -
Other current assets 5,014,903
Total Current Assets $ 39,079,062
Land, buildings and other fixed assets
(net of accumulated depreciation) 50,711,438
Other assets -
Total Assets $ 89,790,500
LIABILITIES
Current Liabilities:
Accounts Payable $ 510,122
Mortgages, notes, bonds (payable in less than 1 year) 1,402,649
Other current liabilities 2,167,420
Total Current Liabilities $ 4,080,191
Mortgages, notes, bonds (payable in more than 1 year) 64,269,371
Fund Balances:
Restricted 3,492,488
Unrestricted 17,948,450
Total Fund Balances 21,440,938
Total Liabilities and Fund Balances $ 89,790,500
Please Enter Corporation Name: _MUNICIPAL PROPERTY CORPORATION File number Page 3
9. FINANCIAL DISCLOSURE (A.R.S. §10-11622.A.9)
Nonprofit corporations must attach a financial statement(e.g. income/expense statement,balance sheet including assets, liabilities). All other
forms of corporations are exempt from filing a financial disclosure.
9A. MEMBERS (A.R.S. § 10-11622.A.6)
Only Nonprofit Corporations must answer this question. This corporation DOES J DOES NOT CI have members.
10. CERTIFICATE OF DISCLOSURE (A.R.S. §§10-1622.A.8 & 10-11622.A.7)
Has ANY person serving either by election or appointment as an officer,director,trustee, incorporator and/or person controlling or holding more
than 10% of the issued and outstanding common shares or 10%of any other proprietary, beneficial or membership interest in the corporation
been: [Underlined portion pertains to business corporations only]
1. Convicted of a felony involving a transaction in securities, consumer fraud or antitrust in any state or federal jurisdiction within the seven
year period immediately preceding the execution of this certificate?
2. Convicted of a felony,the essential elements of which consisted of fraud, misrepresentation,theft by false pretenses or restraint of trade
or monopoly in any state or federal jurisdiction within the seven year period immediately preceding execution of this certificate?
3. Or are subject to an injunction, judgment, decree or permanent order of any state or federal court entered within the seven year period
immediately preceding execution of this certificate where such injunction,judgment,decree or permanent order involved the violation of:
(a) fraud or registration provisions of the securities laws of that jurisdiction, or
(b) the consumer fraud laws of that jurisdiction, or
(c) the antitrust or restraint of trade laws of that jurisdiction?
One box must be marked: I YES Ci NOZEJ
If"YES",the following information must be submitted as an attachment to this report for each person subject to one or more
of the actions stated in Items 1. through 3. above.
1. Full name and prior names used. 5. Date and location of birth.
2. Full birth name. 6. Social Security Number
3. Present home address. 7. The nature and description of each conviction or judicial action;
4. Prior addresses (for immediate the date and location;the court and public agency involved,and
preceding 7 year period). the file or cause number of the case.
11. STATEMENT OF BANKRUPTCY, RECEIVERSHIP or CHARTER REVOCATION (A.R.S. §§10-202.D.2, 10-3202.D.2, 10-
1623 & 10-11623)
A) Has the corporation filed a petition for bankruptcy or appointed a receiver? One box must be marked: YES ❑ NO n
B) Has any person serving as an officer, director, trustee or incorporator of the corporation served in any such capacity OR held or controlled
over 20% of the issued and outstanding common shares, or 20% of any other proprietary, beneficial or membership interest in any other
corporation which has been placed in bankruptcy, receivership or had its charter revoked,or administratively or judicially dissolved by any state
or jurisdiction?
[Underlined portion pertains to business corporations only] One box must be marked: YES EJ NO ❑
If "YES" to A and/or B, the following information must be submitted as an attachment to this report for each person subject to the
statement above.
1 The names and addresses of each corporation and the person or persons involved. (e.a. officer, director, trustee or major
stockholder)
2. The state in which each corporation was a) incorporated b) transacted business.
3. The dates of corporate operation.
4. If any involved person (listed in #1) has been involved in any other bankruptcy proceeding within the past year, the name and
address of each corporation.
5. Date, Case number and Court where the bankruptcy was filed or receiver appointed.
6. Name and address of court appointed receiver.
12. SIGNATURES:, Annual Reports must be signed and dated by at least one duly authorized officer or they will be rejected.
I declare, under penalty of law that all corporate income tax returns required by Title 43 of the Arizona Revised Statutes have been
filed with the Arizona Department of Revenue. I further declare under penalty of law that I (we) have examined this report and the
certificate, including any attachments, and to the best of my(our) knowledge and belief they are true, correct and complete.
Name STE LUCAS Date 1' Name BOB HORN - -c-'
Date
Signature ------ :M _ •
Signature _
Title PRESIDENT Title SECRETARY
(Signator(s) must be duly authorized corporate officer(s) listed in section 7 of this report.)