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<br />6. Lsfi the name and address of any Lousiness, profit or non-profit, in which you or your spouse held a <br />position as a director, officer, partner, trustee, or a management position. <br />t11;4l~AF t"~F FAMILY MEMBER. NAME AND ADDRESS OF BUSINESS, POSITION <br />16 <br />7. List the name and address of any lousiness, profit or non-profit, in which ye~u or your spouse holds a <br />10% or greater ownership interest, or a ~S,Qt}0 or greater ownership or investment interest. <br />NAME C?F FAMILY MEMBER NAME AND ADDRESS CF BUSINESS <br />SIGNATURE <br />Grange County Commissioner <br />:fittest: [SE~~L J <br />C,'lerk tca tl~e Fic~ard _~._.__..___.~___ Date __ <br />