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3 gc.- 5. If the applicant is an Individual provide the following information. If not, skip to the next question. Name: N/A Telephone: Address: 6. If the applicant is other than an Individual provide the following information regarding the officers or partners of the legal entity applying for the CCN. You must complete either question 5. or question 6., whichever applies to the applicant. -Name: Kathy M. tlorris Telephone: (512) 393-8085 Address: 630 East Hopkins Street: San Harcos. Texas 78666 Position: Hayor Ownership % (if applicable): N/A -Name: Georqe Boeker Telephone: (512) 393-8004 Address: 630 East Hopkins Street; San Harcos, Texas 78666 Position: Director of Public Works Ownershi N l~ -Name: gark B. Taylor Telephone: (512) 393-8150 Address: 630 East Hopkins Street; San Uarcos, Texas 78666 position: City Attorney Ownershi N A -Name: N/A Tel~phone: N/A Address: N/A . Position: N/~. licable): U Þ. - Attach additional sheet(s) if necessary - G" Important: - If the applicant is a for-profit corporation, please provide a copy of the corporation's "Certification of Account Status" from the State Comptroller Office. This "Certification of Account Status" can be obtained from: Comptroller of Public Accounts, Office Management P. O. Box 13528, Capitol Station Austin, Texas 78711 1-800-252-5555 .,~ - If the applicant is an Article 1434a water supply or sewer service corporation or other non-profit corporation, please provide a copy of the Articles ofIncorporation and By-Laws. ..---. - - .. - ALL APPLICANTS SHOULD COiYlPLETE THE REMA~DER OF THE APPLICATION - 7. Contact person. Please provide information about the person to be contacted regarding this application. Indicate if this person is the owner, operator, engineer, attorney or accountant. Name: Mark B. Taylor Title: City Attorney Address: 630 East Hopkins San ï-iarcos, Tx 78666 Telephone: (512) 393-8150 . CCN.APP (Rev. 12195) Page:1 of 10