HomeMy WebLinkAboutAtmo Authorized Signatures Utility MgrRenewable Energy Fund Round 14 ALASKA
Grant Application — Standard Form ,�� ENERc3Y
AUTHO ITI'
SECTION 13 —AUTHORIZED SIGNERS FORM
CommunitylGrantee Name:
Atmautluak Tribal Utilities
Regular Election Is held: Data:
November
Authorized Grant Si ner s :
Printed Name
Title
Term
Signature
Cad Gamechuk
Utility Board Chairman
1 yr
Henry Tikiun, Jr.
Vice -Chairman
2 yrs
Eliza Nicholai
Sec.frreasurer
2 yr
yP • v I�,�`/
Billy Gilman, Jr.
Member
1 yr
M�`eSPwv��(�,T�
U�1� Nt er
/
I authorize the above person(s) to sign Grant Documents:
Muet be authorized by the highest rankin or anization)communit
/municl al official
Printed Name
Title
Term
Signature
Cad Gamechuk
Board Chairman
(y r
Grantee Contact Information:
Mailing Address:
PO BOX 6564
Atmauttuak, AK 99559
Phone Number:
907-553-5429
Fax Number:
907.553.5429
Email Address:
attutilities@gmail.com
Federal Tax ID #:
92-0069224
Please submit an updated form whenever there Is a change to the above information.
AEA 23001 Page 33 of 35 11/16/2021