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<br />I"d <br />FORM D: ADMINISTRATIVE INFORMATION <br />This form provides wonnawn regarding identification and contract history of the respondent executive management, project management <br />goveming boardffenbers, and/orpnncipal ofhce?s Respond to each request fwinformation or provide the required supplementaldocument <br />behind this form. Ifmsponses require multiple pages, identify the supporting pagesldowrnentation with the applicable request. <br />NOTE. Administratnre inftmetioa maybe used in screening and/or evaluating proposals. <br />Legal Businmw Name of <br />Respondent San Marcos Park Rangers Division 139 <br />Identifying Information <br />1. The respondent must attach the following information: <br />If a Governmental Entity <br />• Names (last, first, middle) and addresses for the officials who are authorized to enter into a contract on behalf <br />of the respondent <br />If a Nonprofit or For rofit Corporation <br />Full names (last, first, middle), addresses, telephone numbers, titles and occupation of members of the Board <br />of Directors or any other principal officers. Indicate the office held by each member (e.g. chairperson, <br />president, vice-president, treasurer, etc.). <br />• Full names (last, first, middle), and addresses for each partner, officer, and director as well as the full names <br />and addresses for each person who owns five percent (5%) or more of the stock if respondent is a for-profit <br />corporation. <br />2. Is respondent a nonprofit organization? (C4-y) <br />? YE5 ® NO <br />if YES, respondent must include evidence of its nonprofit status with the proposal. Any one of the following is <br />acceptable evidence. <br />? (a) A reference to the organization's listing in the Intemal Revenue Service's (IRS's) most recent list of <br />tax-exempt organizations described in section 501(c)(3) of the IRS Code. <br />[] (b) A copy of a currently valid IRS exemption certificate. <br />? (c) A statement from a State taxing body, State Attorney General, or other appropriate State official <br />certifying that the respondent organization has a nonprofit status and that none of the net earnings <br />accrue to any private shareholders or individuals. <br />? (d) A certified copy of the organization's certificate of incorporation or similar document if it clearly <br />establishes the nonprofit status of the organization. <br />? (e) Any of the above proof for a State or national parent organization, and a statement signed by the <br />parent organization that the respondent organization is a local nonprofit affiliate. <br />Paae33 dCI1K• raann