2014-11-05 P & R Packet - Laserfiche WebLink

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Following, please list the names, addresses and telephone numbers of all the principals involved in any of the proposed special event. Include professional event organizers, event promoters, financial underwriters, commercial sponsors,charitable agencies for whose benefit the event is being produced,the organization(s) in whose name the event is being advertised, and all others administratively, financially and organizationally involved as principals in the production of the proposed special event. Make additional copies of the following as needed to include as of the principals involved in the proposed special event. Name: Centerville Main Street Merchants and No One Left Hungry Soup Kitchen. Sponsors are to be determined. Organization/Business/Agency/Affiliation: Centerville Main Street Merchants are independent business in Centerville. Other than co-hosting this event they are not otherwise affiliated. No One Left Hungry Soup Kitchen is affiliated with a catholic parish in North Branch Minnesota. Is this a non-profit organization? No - not yet. 501(c)3 status is pending. We are an All Volunteer Committee. All "profits" will go to benefit the homeless in Minnesota. If you are making application under non-profit status,proof of non-profit status must be attached to this application Mailing Address: Marsha Marcussen c/o American Family Insurance 1883 Main Street, Centerville,MN 55038 Day Phone: _651-426-1658 Evening Phone: Title and functional responsibility with regard to the event: Race Director, Overall responsibility for all aspects of the event to include fund raising,benefit distribution, promotion, sponsors, Mailing Address: Patrick Branch 1618 Hunters Ridge Lane Centerville MN 55038 Day Phone: ,703-501- 6815 Evening Phone: Title and functional responsibility with regard to the event: Run Course Coordinator. Responsible for laying out the course, conducting the race, and coordinating the race course with local government and community. 4. REQUESTED EVENT COMPONENTS: Date requested: September 19, 2015 Alternate date: None Requested hours of operation: _6:00 a.m. To: 10:30 a.m. Actual time of the event is 7:00 to 9:30 a.m. Permit request is for the expected time of the event plus or minus an hour. Set up beginning date and time: Some set up will be done on September 17th and 18th,with final set up on September 19 from 6:00 to 7:00 - a.m.. Complete dismantle date and time: September 19, 2015 by 11:00 A.M. Page 3 of 14