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