TANS FORM MUST BE SUBMITTED WATHALL RESPONSES TO THIS TFB
229 Main Street, City Hall
Nashua, NH 03061-2019
SUBMITTED on Feby uUcvwa {i ,20_2\
_)
Business Name (typed or printed): Urshine aving Coy povam bY
[] Individual [_] Partnership Corporation [J Joint Venture
Type:
[_] General LJ] General
[_] Publicly Traded [_] Professional
[J Limited EX] Services
[J other [_] Limited Liability
By
_Kres ichee + (SEAL) — = |
/ ,C> Uindividuat's Signature, General Partner, Officer with authority to sign) -
Doing Business as): Sunshine Ravine, Corporation
Business Address: 2% Comsity ten “De ive.
Hudson WH O30s1
Phone: (lo 03) B Elo ~S4oo Email: NowWGS UuNnshine 20 We. cory
Date and State of Organization: IV | A ~
Date and State of incorporation: “4 |Abw aa Meassachuse 44 §
Date of Qualification to do business is_“S\Qlp
Names of Current General Partners/Executive Officers/Joint Partners
_Name
Robert Bushnely Eo Pcctbot
Janice. Bushne Ul “Treasurer
(Indicate managing partner by an asterisk *)
Address for receipt of official communications:
UNSIning Pav na Corporation Roloey \Pushne\t, President
2A ConS hhiban ‘Dy. Hudson WN) to2esy\
Each joint ventured must sign. The manner of signing for each individual, partnership and corporation that is a
party to the joint venture should be in the manner indicated above.
BF - 4 of 7
