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GENERAL INFORMATION <br />Page 3 <br /> <br />5¢0) <br /> <br />The managing partner will be: <br /> <br />Full Name: <br /> <br />Residence Address: <br /> <br />City/State/Zip: <br /> <br />DOB: <br />PH: <br /> <br />5(c) <br /> <br />The full name, date of birth, residence address and telephone number of the operating manager <br />and any other individual with management responsibilities of the partnership's premises to be <br />licensed: <br /> <br />Full Name: DOB: <br /> <br />Residence Address: <br /> <br />PH: <br /> <br />City/State/Zip: <br /> <br />Full Name: <br /> <br />Residence Address: <br /> <br />City/State/Zip:. <br /> <br />DOB: <br />PH: <br /> <br />Full Name: <br /> <br />Residence Address: <br /> <br />City/State/Zip: <br /> <br />DOB: <br />PH: <br /> <br />(A Part II - Personal History Form must be filled out and attached for each of the general partners listed <br />in 5(a) and the individuals listed in items 5Co), and 5(c).) <br /> <br />If The Application Is For A Partnership, Attach Two Copies Of The Partnership Agreement <br />And Two Copies Of The Certificate Of Trade Name Under Provisions of Chapter 333, <br />Minnesota Statutes, Certified By Secretary of State's Office. <br /> <br />6(a) <br /> <br />If the applicant is a corporation or association, give the name of corporation or association, Elk <br />River address and phone number, and home office address and phone number. <br /> <br />· Name <br /> <br />State of Incorporation <br />or Association: <br /> <br />Elk l~iver Address: <br /> <br />PH: <br /> <br />Home Office Address: PH: <br /> <br /> <br />