HomeMy WebLinkAboutKPBSD_AuthorizedSignersFormGrant Documents Authorized Signers
Please clearly print or type all sections of this form.
Community/Grantee Name:
Kenai Peninsula Borough School District
Regular Election is held: Date:
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Authorized Grant Signer(s):
Printed Name
Title
Term
Signature
Dave Jones
Project Manager /
Assistant Superintendent
Laurie Olson
Director of Finance
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I authorize the above person(s) to sign Grant Documents:
(Highest ranking organization/community/municipal official)
Printed Name
Title
Term
Signature
Steve Atwater
Superintendent of Schools
Grantee Contact Information:
Mailing Address:
148 N. Binkley St.
Soldotna, AK 99669
Phone Number:
907-714-8888
Fax Number:
907-262-9645
E-mail Address:
davejones@kpbsd.k12.ak.us
Fiscal Year End:
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Entity Type For -profit or non-profit status):-
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Federal Tax ID #:
CA 2 - 00)�23
Please submit an updated form whenever there is a change to the above information.
Please return the original completed form to:
Alaska Energy Authority
813 W. Northern Lights Blvd.
Anchorage, AK 99503
Attn: Butch White, Grants Administrator
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