HomeMy WebLinkAbout4 - Kwig Grant Signers FormGrant Documents Authorized Signers
Please clearly print or type all sections of this form.
1Date:9/13/10
Community/Grantee Name:Kwig Power Company
Regular Election is held:
Authorized Grant Si
Printed Name TermTitle
William Igkurak General Manager
Andrew Kiunya Tribal Administrator
Johnny Friend Tribal Council President
Roland J Lewis Social Services Director
I authorize the above person(s)to sign Grant Documents:
(Highest ranking organization/community/municipal official)
Printed Name Title Term Signature
William Igkurak General Manager
Grantee Contact Information·
Mailing Address:PO Box 90.Kwigillingok.AK 99622
Phone Number:907 -588-8626
Fax Number:907 -588-8627
E-mail Address:wmigkurak@hughes.net
Federal Tax 10 #:92-0097305
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
ALASKA
ENERGY AUTHORITY
I ..,
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