HomeMy WebLinkAboutAuthorized Signers Atmocean AEA Round VRegular Election is held:n/a 1Date:Aug 23,2011
Grant Documents Authorized Signers
Please clearly print or type all sections of this form.
Community/Grantee Name:Atmocean,Inc.
Authorized G s·(5)------------,-,-
Printed Name Title Term Signature
Philip W.Kithil CEO n/a -\thUV
~)----
I authorize the above person(s)to sign Grant Documents:
(Highest ranking organization/community/municipal official)
TermPrintedNameTitle
n/aPhilipW.Kithil CEO
Grantee Contact Information:
Mailing Address:607 Cerrillos Rd
Phone Number:505-310-2294
Fax Number:None
E-mail Address:Atmocean.kithil@qmail.com
Fiscal Year End:12/31
Entity Type (For-profit or non-profit status):For profit
Federal Tax ID #:87-0759120
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 I~AlASKA._='ENERGY AUTHORITY
C\Users\user\DesktoplAllWord Docs\2011\GrantDocumentsAuthorizedSignersS Atmocean Inc.docx