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i { <br />Co� ora�ion Information <br />List all partners/off cersldirect�rs; (atta�l� additio�al sheets �f needed� <br />Name: �LEASE SEE �TTACHED <br />Home Address: <br />. <br />ccupat�on: <br />�ar�e: <br />Ham� Address: <br />. <br />ccupat�on: <br />Da�e of ir�corporati�on: 09/ 18/ 19b4 State o� ir�corporation: MN <br />A�nount of paid-in capital: $ 2�. 3, 000 <br />• • , <br />t�.�� �_f s�������r;� �f ��� ��-h�� ������-�.����; ��� � ��� �v���:3 �� _.W -- _.._ __._-�-__--.-_ <br />�ol di ng compar�y for who� �sa� e a�d reta� � b�s � nesses <br />State purpose of cor�orat�on: i r�cl ud� n as stdt�ons �onven�ence stores <br />�f this ap�iication is for a rer�ewa� of a�icense, state w�ether a�y changes have been made in the <br />ar�ic�es o� �ncorporation and bylaws since the last issue of license: <br />i�IA <br />If incorpo�ated under the laws of anot�er state, is carpt�ration authorizecl to do business in th�s <br />sta�e? <br />❑ Yes ��A <br />� No <br />�tum�er of Ce�ti f cate �f Au�hority: ��- 3 7 3 <br />. __.....�...._.._.........._.......__.._...__......_..�... <br />(NO�E: �f this app�ication is for a new cor�oration, inc��de a certified co�y of t�e artic�es <br />of incorporation �nd by �aws.) <br />201� �ity �,iquor I,i�er�se Ap}�lication Page 7 of �5 <br />