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CORPORATION OR ASSOCIATION <br />(robe fiUoel out by an Officer of the Corporation or Ms°c;ation) <br />List the name or corporation or association, St. Anthony address and phone number and home office address <br />ST. ANTHONY RESTAURANT GROUP, INC. <br />State of Inc. or Assoc. -----------_.__..._-- <br />Fridley address._-_-- ---------_.----_-------.—...._— <br />Phone number <br />---------- - <br />Home office address <br />Phone number <br />List the frill navies, home addresses, phone numbers and date -of -birth of all officers of said corporation of association. <br />President UUY LCV IN I"_LI L-I't: <br />Full name Fast <br />Home Address: 14693 WACO ST AN <br />- <br />Phone Number Lr>om�'63-421-4209. _ <br />Date of Birth <br />Vice-president <br />Full vane <br />Home Adtxess: <br />Phone Number <br />Date of Birth <br />r;, \NAI TFR Middle WILLIAM Last FORSCHEN <br />secretary <br />Fullnarne I'.rst JEFFREY Modlc FRED trt J-OHNSON <br />Home Address: 033 HIUDCN SPIRII IRAII_ <br />Phone Number I 0 99� b.I- 5�1_ work-- <br />Date of Birth <br />Treasurer <br />Fall name <br />PirStGUY LEON PETERSOhLtiddlo Last <br />Home Address: <br />_. ......-------------------------- <br />Phone Number <br />H0 eu W0`k <br />Date of Birth <br />List the Rall names, home <br />addresses and phone numbers of all persons who singly or together with then' spouse, parents, <br />brothers, sisters or clildrun, <br />own or control an interest in said corporation or association in excess of 5% and date -of <br />birth. <br />]1rlLratne <br />First GUY---—.-._.- Middlc LEON -.--- Last -PETERSON,_--------- <br />Home Address:Phone <br />Number <br />Hornc Work <br />Interest <br />--_....—'—_-------------- <br />Date ofBirth <br />Pull name <br />First WALTER Mtadlc WILLIAM —_Last FORSCHEN <br />Home Address: <br />.. _—... —.---- <br />Phone Nu nber <br />Homo ------- <br />_Daze <br />---_-- <br />Dazeof Binh <br />rust JEFFREY Middlc FRED—J Iasi JOHNSON <br />Ent, name <br />- — _ <br />Hc:ne Address: <br />-_ ------------ <br />Phone Number <br />Work --.--i—_—_ - <br />Home <br />Interest <br />----- <br />Date of Birth._— <br />