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TELEPHONE: cell 703-501-6815 Email p2branchgemail.com 2.IDENTIFYING INFORMATION: Attach a written communication from the organization(s)in whose name the event will be advertised which authorizes you,the applicant,to apply for this special event permit on its/their behalf. Applicant's Name: Patrick Branch Title: Outrun Homelessness 5K& 8K Coordinator Mailing Address:1618 Hunters Ridge Lane, Centerville, MN 55038 Affiliation: No One Left Hungry Run Committee Day Phone: 703 501-6815 Evening Phone: 703 501-6815 Emergency Phone: 651-252-8325 (Marsha Marcussen, Race Director) 3.EVENT PRINCIPALS: 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 organizational- ly 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 inde- pendent business in Centerville Other than co-hosting this event,they are not otherwise affiliated. No One Left Hungry Foundation is affiliated with and runs a weekly soup kitchen at catholic parish in North Branch Minnesota Is this a non-profit organization? yes. 501(c)3 status is pending. We are an All Vol- unteer 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 applicatio Title and functional responsibility with regard to the event: Marsha Marcussen Race Director- Overall responsibility for the event and the founda- tion. c/o American Family Insurance 1883 Main Street Centerville MN 55038 Page 2 of 14 59