eck one box) 0 I. Individual 0 2. Partnership 0 3. Corporation ( 4. Co-owner 0 5. Gov't, 0 8. NAME OF APPLICANT (Penton(*) shOwn on evidence Cit Ownership. II iftfthAdUali EN° lost name. Ant name. and middle ',Midi 4111, 11.) Edward J. Rappa 3.125% of 100% C_See Attachment aCt4L-Cc.a 5- lct-(Y‘S)