Ono box) O 1. Individual 02. Partnership 't el 3. Corporation 04. Co- S. Co Cik crnt O 8. Non- en Corporal O 8. Non-Citizen -Ow er NAME OR APPUCANT Persen(s) shown on evidence of ownership. It IncsvkluSt Pm I Mme. tint flan". FORM APPROVED 0141 No. 2120-0042 ASI Wings, LLC TespiroNEpiumem, ( 860) 273