THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS [Fb
229 Main Street, City Hall
Nashua, NH_ 03061-2019
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SUBMITTED on ~JOQUAYLY 2 % 20 2
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Business Name (typed or printed): Sunsh INC Vow ne (wooast (Y)
[_] Individual [_] Partnership [Xx] Corporation [_] Joint Venture
Type:
[_] General [] General
[_] Publicly Traded [_] Professional
[_] Limited Dd Services
ee Mhdividual's Signature, General Partner, Officer with authority to sign) -
Wi) L] Other [_] Limited Liability
By: J 7 Vi President ____(SEAL)
Doing Business as): Sunsinine. Rav ‘ Na Comoration
Business Address; 2A Cons + i hu ion Dv .
hu dden WH 6205)
Phone: (ipo) ¥¥ &b- S4d0 Email: Qo bES UNSNine Pay Na. CoM
Date and state of Organization: N | a ~
Date and State of Incorporation: 3\c im Nass achuse + te
Date of Qualification to do business is | Aip
Names of Current General Partners/Executive Officers/Joint Partners
‘ shne\\ ‘Pre siclon
. COQ mn \ OS
(Indicate managing partner by an asterisk *)
Address for receipt of official communications:
Sunshine Vayinoy Cov pared - Rolooyt Bushoall ,Presizlen i
24 Conshhubhm, Py. Har olsen, MH 63D 3)
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
