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3 EVENT PRINCIPALS: <br />Following, please list the names, addresses and telephone <br />numbers of all the principals involved in any in the proposed <br />special event. Include professional event organizers, event <br />promoters, financial underwriters, coziQuercial sponsors, <br />charitable agencies for whose benefit the event is being <br />produced, the organization(s) in whose name the event is being <br />advertised, and all others administratively, financially and <br />organizationally involved as principals in the production of <br />the proposed special event. Make additional copies of the <br />following as needed to include as of the principals involved <br />in the proposed special event. <br />Name ��e �� 1,1N1 <br />Organization Business/Agency/Affiliation <br />(1-1A(0-' <br />Is this a non-profit organization? <br />Yes No <br />If you are making application under non-profit status, proof of <br />non-profit status must be attached to this application. <br />Mailing Address : pix 13 Of, k PACS nACS .O S.S 6iy <br />AM -e. <br />Phone Day: - Evening <br />Other <br />Title and Functional Responsibility with Regard to the Event <br />S'AME AS ! <br />Will this person have authority to cancel or greatly modify event <br />plans? <br />Yes No <br />Will this person be present at the event area or areas and in <br />charge of the event at all times? <br />Yes No <br />Ref: Spclevnt <br />eh ()IA f 5PQSc). <br />2 <br />xc5-444CAA <br />ZA4) Kf ee,:1s k1 <br />9e6-�Y/� <br />