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<br />City of Mounds View Public Financing Policy & Application <br />Adopted February, 2016 (Expected) <br />Page 9 of 21 <br /> <br />B. CONTACT INFORMATION <br /> <br />Public Information Notice <br />Generally, correspondence to and from staff is considered public information. Specific data related to a financial <br />assistance request is deemed not public: Financial Information, Financial Statements, Net worth Calculations, <br />Business Plans, Income and Expense projections, Balance Sheets, Customer Lists, Income Tax returns, Credit <br />Reports, Design, Market, and Feasibility Studies Not Paid for with Public Funds. When public financial assistance <br />is received, only the following remains not public: Business Plans, Income and Expense projections, Customer <br />lists, Income tax returns, design, market, and feasibility studies not paid for with public funds, income and expense <br />projections not related to financial assistance. The City does allow an applicant to submit sensitive financial information <br />directly to the City’s financial consultant, for additional security. All data requests will be processed in accordance <br />with Minn. Stat. Ch. 13. <br /> <br />Property Owner Information (please print) Name: ________________________________________ <br /> <br />Personal E-mail address: _______________________________________________________________ <br /> <br />Personal Residence Address: ______________________ ______________ _______ _______________ <br /> Street City State Zip Code <br />Phone: ____________________________________________________________________________ <br /> <br />Legal Name of Business: _______________________________________________________________ <br /> <br />Business E-mail address: _______________________________________________________________ <br /> <br />Business Address: _______________________________ ________________ ______ __________ <br /> Street City State Zip Code <br /> <br />Check One: Proprietor Corporation Partnership <br /> <br />Federal ID # State ID # <br /> <br /> <br />Agent Information (print) Same as Property Owner Different, as below (Check one) <br />Name: _____________________________ E -mail address:___________________________________ <br />Address: _______________________________ ________________ ______ __________ <br /> Street City State Zip Code <br />Phone (w): _______________________ (m): _______________________ (d): ___________________ <br /> <br />Attorney Name <br />Address <br />Phone Fax Email <br /> <br />Accountant Name <br />Address <br />Phone Fax Email <br /> <br />Contractor Name <br />Address <br />Phone Fax Email <br />