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CC_Minutes_2013_1118
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CC_Minutes_2013_1118
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12/17/2013 9:45:31 AM
Creation date
11/26/2013 11:00:14 AM
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Roseville City Council
Document Type
Council Minutes
Meeting Date
11/18/2013
Meeting Type
Regular
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Page 10A PLEASE TYPE OR PRINT ALL INFORMATION <br /> STATE ASSIGNED LICENSE NUMBER, 7c7 - 44 -I1(15 r Pn3 <br /> ALL APPLICANTS ANSWER THE FOLLOWING[ADD PAGES AS NECESSARY] <br /> SOLE OWNERS AND PARTNERSHIPS: Complete this page in full. <br /> LIMITED PARTNERSHIPS: All information about a general partner or partners of a limited partnership must be reported, whether the <br /> general partner is an individual or a corporation. A list of the names and addresses of all limited partners must be submitted as an <br /> attachment to this application with an identification of the percentage of each limited partner as it relates to total ownership of the business <br /> entity to be licensed. <br /> CORPORATIONS: All corporation applicants or licensees and any corporation that has an ownership interest in the corporation under <br /> license or to be licensed must have been reported on Page 10. Information on this Page, 10A, will identify all officers, directors and <br /> stockholders holding one percent or more of the shares of the respective company. Club licenses must list names of officers and directors <br /> and attach a current membership list. <br /> ******************,ttr************** ****x,ear****************************************************************veer******* <br /> NAME OF CORPORATION OR CLUB COVERED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A <br /> CORPORATION OR PARTNERSHIP) <br /> ____E. G. Holding Corporation Inc. <br /> Name of individual(last name first),stockholder, partner,officer or director: _ <br /> Trone, Robert L. <br /> Last Names • a Middle Initial <br /> Home Street Address <br /> um er ree ame <br /> P.O. Box# nicipality State MEP <br /> ZIp,1 _ <br /> Social Security Number Date of Birth <br /> Home telephone number ( _ _ <br /> Area Exchange Number <br /> Office telephone number ( 301 ) 795 - 1000 <br /> Area Exchange Number <br /> %of business owned or controlled 100% Number of shares 100 <br /> Check position that applies: Sole owner Partner XX Stockholder <br /> xx <br /> President Vice-President Secretary Treasurer Director <br /> Trustee Manager Agent Executor/Administrator Receiver <br /> Beneficiary Other(specify) <br /> Name of individual(last name first),stockholder,partner,officer or director: <br /> N/A <br /> Last Name First Name Middle Initial <br /> Home Street Address <br /> Number Street Name <br /> P.O. Box# Municipality • -� State <br /> Zip - <br /> Social Security Number - - Date of Birth / / <br /> Home telephone number ( ) <br /> Area Exchange Number <br /> Office telephone number ( ) - __ <br /> Area Exchange Number <br /> of business owned or controlled Number of shares <br /> Check position that applies: Sole owner -Partner Stockholder <br /> President Vice-President Secretary Treasurer Director <br /> _Trustee Manager Agent Executor/Administrator Receiver <br /> Beneficiary Other(specify), __ <br />
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