Form 04-573 - Alaska Seafood Processor And Exporter 1998 License And Permit Application Intent To Operate Page 4

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Alaska Seafood Processor and Exporter
1998 License and Permit Application
Intent to Operate
BUSINESS OWNER INFORMATION
Corporations only
Parent Corporation Information
Federal EIN
Parent Corporation Name
Company or Business Name
Business Mailing Address
City
State
Zip Code
All Entities
Is any owner of this business applying for a 1998 seafood processors license for any other facility or vessel?
YES
NO
If YES, list the name(s) and address(es) of these businesses:
Federal EIN
Corporation Name
Company or Business Name
Mailing Address
City
State
Zip Code
Corporation Name
Company or Business Name
Federal EIN
Mailing Address
City
State
Zip Code
Corporation Name
Federal EIN
Company or Business Name
Mailing Address
City
State
Zip Code
Corporation Name
Federal EIN
Company or Business Name
Mailing Address
City
State
Zip Code
Page 2
Form 04-573 (Rev. 9/97)

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