Contractor/Organization hereby discloses its trustees, directors, partners, officers, and hose with more than 10% equity, participation, or revenue interest it Contractor/Organization, as follows
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1. Contractor Organization Name: MOuLe + POLY z01Des
2. Type of Entity:
Anon-government a nonprofit 501(c)(3), (4), or (6)
3. Name(s) of trustees, directors, partners, officers of Contractor/Organization:
ELIzaBeTt MouLe
STeFAnOS POLY ZOIDES
4. Names of those with more than a 10% equity, participation or revenue interest in Contractor/Organization:
eLIzaBeAt MOVLe
STEFANOS POLY Z0122)
Prepared by: Sasha peyes
Tite: Director of Administration
Phone: 426.044.2400
Date: 7,24/23
Rev.07.10.2007