k One: I: Corporation • OCLLC • lL Partnership • Li Sole Proprietorship • Owners Full Name Toipi Giono Skp4m'w4 SS# Federal ID # Owners Address, Zek,*„..4e, V' A te_ City Ai/ State (Y V Zip /00 4,2,) Partners Full Name ( If Partnership ) SS* Partners Address City State Zip TRADE REFERENCES