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Is this a non-profit organization? 501(c)3 status is pending approval from the IRS. <br />We are an All Volunteer Committee. All "profits" will feed the hungry or benefit the <br />homeless in Minnesota. <br />If you are making application under non-profit status, proof of non-profit status must be attached to this <br />application <br />Title and functional responsibility with regard to the event: <br />Marsha Marcussen Race Director - Overall responsibility for the event and the founda- <br />tion. c/o American Family Insurance 1883 Main Street, Centerville, MN 55038 <br />Phone:651-426-1658 <br />Patrick Branch. event coordinator. 1618 Hunters Ridge Lane, Centerville, MN <br />55038 Phone: 703-501-6815 <br />Michael Giovinazzo, Coordinator, Centerville Main. Street Merchants, <br />c/o American Family Insurance 1883 Main Street, Centerville, MN 55038 <br />Phone 651-426-1658 <br />4.REQUESTED EVENT COMPONENTS: <br />Date requested: Saturday September 23, 2017 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 21 -22a <br />2017.with final set up on Sgptember 23, 2017 from 6:00 to 7:00 - a.m.. <br />Complete dismantle date and time: September 23, 2017 by 11:00 A.M. <br />Schedule of events: <br />• 6:00 a.m <br />• 7:00 - 8:00 <br />• 8:00 - 9:00 <br />• 9:30 - 10:00 <br />• 10:00 a.m. <br />Set up <br />Registration <br />5K and 8K Run/ Walk <br />Awards Ceremony <br />Site clean up <br />Describe the number and type of animals (if any) to be used in this event: No Animals <br />Attach a draft of the entry form for participants and/or spectators. <br />Page 3 of 14 <br />