List below as participants and/or other interested parties in the organization and their equity holdings:
NAME OF PARTICIPANT | PARTICIPATION* | SHARE OF TOTAL EQUITY (%) |
_________________ | _________________ | _________________ |
_________________ | _________________ | _________________ |
_________________ | _________________ | _________________ |
_________________ | _________________ | _________________ |
_________________ | _________________ | _________________ |
* Refers to participation as in "Principal Sponsor", "Consultant", "Contractor", "Operator", "Financier", "Equipment Supplier", etc.
List below the officials of the organization and their company affiliations. In case of a consortium, this refers to the Board of Directors of the Principal Sponsor.
MEMBERS OF THE BOARD OF DIRECTORS: | |||
NAME | COMPANY |
| |
____________________ | ____________________ |
| |
____________________ | ____________________ |
| |
____________________ | ____________________ |
| |
____________________ | ____________________ |
| |
|
|
| |
CORPORATE OFFICIALS: |
|
| |
|
|
| |
NAME | POSITION |
| |
____________________ | ____________________ |
| |
____________________ | ____________________ |
| |
____________________ | ____________________ |
| |