Free Proposed Findings of Uncontroverted Fact - District Court of Federal Claims - federal

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 1 of 16

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164

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 2 of 16

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Case 1:05-cv-00738-TCW 10/04/2006 15: 38 602-542-8813

Document 36-5 AZ

Filed 11/22/2006 CORP COMMISSION

Page 3 of PAGE 02/04 16

APCA'INJI WHlWilWAL
AZGORPORATION COMMISSION FILED

OF

SEP 1'2 2006

FO CORATl ,~lt~~~.~la
i

fJ NO. f:9t 7~12...

A De

(it ¡i or iil

Cwpora

1. Th ii. ofll ftøi colll& iil' ~ i.

Ii i. mc: 1l 1h li of Do
!I it lIor In do 80 Dl iI __

2. TJ 1bOO.qalia D.....ai ln1XlDaf intb st andoher

(il. pl'vi or ooJ

1Ii.buøl"~a1Dl1lii1l. 4. Upo æc of an pi -- \1 it OI ii aftl fu ~ th Ar
Ca t"l.øion ÌI ~ to ll a co to: .

3. Th fò coim il ii re th il of ìl øi 8g1n acce prcess on ìl beal-l do ii ii th Ar Cmon Coii ll i1ø ø¡ fo ii ofpm Dl im pri- li em a _ ofii ar il 1f ti it 'W im

~~f~SiIOO.

5. Th ib coi.4on wì mi di Ar Cooi o.l.si..in di fuo of an

~ OCT 4~ ~
DATBIh~dsof -"ioos
aw1tåb-IlIlntliii- _

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cl Ìl ti ..o;ing li afil fb citi

tI.~4J/l tI *._JuntøfMHtltl "'II__"" i-bøjI Ø1rl-i
ARIZONA CORP COMMISSION CORPORATIONS DIVISION

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166

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 4 of 16

STATE OF ARIZONA

""' (Ot

C0f1PORA1l0N COMMISSION

I hereby cenity this to be 8 true and coniplete copy of the doCu'men\ filed

~i~i~oo~i;rrd in

EN:

167

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 5 of 16

CORPORATION STATEMENT OF CHANGE OF KNOWN PLACE OF BUSINESS OR STATUTORY AGENT ADDRESS
the Corporation on file with the Arzona Corporation

1. The exact name of

Commission (ACC) is:

BROWNG-FERRS INUS1RIES, 1NC.
2. The ACC File Number is: F09676075
3. The address of 15880N GREENAY-HAYDEN the known place of

business currently on fie with the ACC is: LOOP, #100, SCOTTSDALE, AZ 85260

4. The address ofthe current statutory agent on fie with the ACC is:

3225 N CENT AVE, PHOEN, AZ 85012
5. The name of the current statutory agent is: C T CORPORATION SYSTEM

6. The new address of

the statutory agent in Arzona is: 2394 E. Camelback Road, Phoenix, AZ 85016

7. The statutory agent has given the entity wrtten notice of

this change.

8. If

business in Arizona is our (the statutory agent) address, please update accordingly.
the entity indicates its address of the known place of

Dated: May 19,2006
CT CORPORATION SYSTEM
~ ;. - ¡

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\-'".. ",. ....,,.,~' '\ Reç,ir.i!l
May 26, 2006 . "

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Kenneth J Uva, Vice President

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'.

Arizona Corporation ComÎnissiiiD '.
Corporations Division

.'

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 6 of 16

STATE Of ¡\iONA

o
11'~',lid:

CQRPQRATlON COMMISSION

169

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 7 of 16

FILING FEE $45.00 FY04 -05 The following information is required by A.R.S. §§1o-1622 &. 10-11622 for all corprations organize pursuant to Arizona Revise
DUE ON OR BEFORE

= Wl

E-FlLED

STATE OF ARIZONA CORPORATION COMMISSION
CORPORATION ANNUAL REPORT & CERTIFICATE OF DISCLOSURE

01040524

òf

-: -. - ~ '" -" ~
:: .--~- 8 o Drn_æf. IJCO~;, S.l9i"

10/30/2004

Sttutes, Tille 10. 11e Commission's autorll to prescribe this form is A.R.S. §§1D-121.A. & 1D-3121.A.

YOUR REPORT MUST BE SUBMITTED ON THIS ORIGINAL FORM. Make changes or corrections where necssry. Information
for the report should reflec the current stus of the corporation. Se Instructions on page 4 for proper format.

1. F-0967607-5 BROWNING-FERRIS INDUSTRIES, INC. 15880 N GREENWAY-HAYDEN LOP

#100 SCOTTSDAL, AZ 85260
Business Phone:

I (Business phone is optionaL.) I

State of Domicile: DELAWAR
2.

Type of Corporation: BUSINESS
Physica Adess, If Differt.

Maling Adss: 3225 N CE AVE
City, state, Zip: PHOEN, AZ 85012

statutory Agt: C T CORPRAON SYSTE

Physica Adess:

City, State, Zip: AZ

Ace USE ONLY

,...n ..rr"-.....t:.1i,í."-....i":...()ii.i,¥..,i.t.....~.!,íi:t:,i.ii!l..lJ..i:..I,.. ..£1t:.llt:.I1t:.()"¥n ,lil"l.t:........
If appointing a new sIBtutory agent, the new agent MUST consent to that appointment by signing below.
/, (inrvual) or We, (corpratin or ffited liil compay) having ben designated the new Statuory Agent,

Fee

$

45.0C

Penal $
Reinstae $

do hereby consent to this appointment until my removal or resignation pursuant to k:w.

Exit $
Resubmit $

Signare of new Statutory Agent

Printed Name of new Statory Agent

3.

Secondary Address:
(Foreign Corprations are
REQUIRED 10 complete

this section).

% CORPORATION TRUST COMPAN CORPRATION TRUST CENTER 1209 ORAGE ST WILMINGTON, DE 19801

4. CHARACTER OF BUSINESS
OTHER

Date Received: 10/11/2004

170

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 8 of 16
Page 2

F-0967607-5 BROWNING-FERRIS INDUSTRIES, INC.
5. CAPITALIZATION: (Busines Corprations and Busines Trusts are REQUIRED to compiete this secion.)

Business trusts must indicate the number of transferable certificates held by trustees evidencing their beneficial interest in the trust estate. Please examine the corpration's original Articles of Incorpration tor the amount of shares authorized. Review all corpration amendments to determine if the original number of shares has changed. Examine the corpration's minutes for the number of share Issued.

Number of Shares/Certificates Authorized

Clas
COMON

Series Within Clas (if any)

1000
Number of Shares/Certificates Issued

Clas
COMMON

Series Within Clas (if any)

1000

6. SHAREHOLDERS: (Business Corprations and Business Trusts are REQUIRED to complete this section.)
List shareholders holding more than 20% of any clas of shares issued by the corpration. or having more than a 20%

beneficial interest in the corpration.

ALIED WASTE NORTH AMRIC
7. OFFICERS

Name: JO LYNN WHITE Title: SECRETARY Address: 15880 N GREENWAY-HAYDEN LOP Address: 15880 N GREENWAY-HAYDEN
Ti tIe: PRESIDENT/CEO

Name: DONA W SLAGER

#100 SCOTTSDAL, AZ 85260
Date Taking Office: 07/30/1999

#100 SCOTTSDAL, AZ 85260

LOP

Date Taking Office: 02/16/2001

Name: DAL L PARR Name: STEVEN M HELM Ti tIe: VICE-PRESIDENT Title: VICE-PRESIDENT Address: 15880 N GREENWAY-HAYDEN LOP Address: 15880 N GREENWAY -HAYDEN
#100 SCOTTSDAL, AZ 85260
Date Taking Office: 07/01/2003

LOP

#100 SCOTTSDAL, AZ 85260
Date Taking Office: 11/09/2001

8. DIRECTORS

Name: DONA W SLAGER

Name: THOMA P MATIN
#100 SCOTTSDAL, AZ 85260
Date Taking Office: 02/16/2001

Address: 15880 N GREENWAY-HAYDEN LOP Address: 15880 N GREENWAY-HAYDEN

LOP

#100 SCOTTDAL, AZ 85260
Date Taking Office: 07/30/1999

Name: JAMS E GRAY Address: 15880 N GREENWAY-HAYDEN LOP

1100 SCOTTSDAL, AZ 85260
Date Taking Office: 01/22/2001

Address:
Date Taking

Name:

Office:

171

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 9 of 16

Add.IF-096.7607-5d' BROWNING-FERRIS INDUSTRIES, INC. i ional officers and ,rectors:
OFFICERS:

Address:

Name: CONNIE J GECICH Ti tIe: OTHER OFFICER

#100

Name: GREGORY J REDDY OTHER OFFICER 15880 N GREENWAY-HAYDEN LOOP Address: 15880 N GREENWAY-HAYDEN LOP
Ti tIe:

Date Taking Office: 06/23/2003
Name: EILEEN B SCHUR OTHER OFFICER Address: 11757 KATY FREWAY
Ti tIe:

SCOTTSDAL , AZ

85260

Date

SCOTTSDAL , AZ 85260 Taking Office: 08/01/2003

#100

Name: THOMA P MATIN

#930

Adress:
Date

Ti tIe:

TREURR
#100

15880 N GREENWAY-HAYDEN

LOP

Date Taking Office: 07/30/1999
Name:
Ti tIe:

HOUSTON, TX

77079

SCOTTSDAL , AZ 85260 Taking Office: 02/16/2001

Name:
Ti tIe:

Address:

Date Taking Office:

Address:

Date Taking Office:

Name:

Name:
Ti tIe:

Address:

Ti tIe:

Date Taking Office:

Address:

Date Taking Office:

DIRECTORS:

Address:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:

Adress:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:
172

Case 1:05-cv-00738-TCW

Document 36-5

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Page 10 of 16
Page 3

F-0967607-5 BROWNING-FERRIS INDUSTRIES, INC.
9. FINANCIAL DISCLOSURE (A.RS. §10-11622.A.9) Non:;roficorprations must attch a financial statement (e.g. income/expense statement. balance shee including assets. liabilities). All other forms of corprations are exempt from filng a financial disclosure.

9A. MEMBERS (A.R.S. § 1O-11622.A.6

This corpration DOES 0 DOES NOT 0 have members.
10. CERTIFICATE OF DISCLOSURE (A.RS. §§10-1622.A.8 & 10-11622.A.7) Has ANY per sering eiher by elecion or appointment as an officer, direcor, trustee, incorprator and/or person controllna or holdina
more than 10% of the issued and outstandina common shares or 10% of anv other proprietary. beneficial or memberhip interes in the cororation bee: (Underlined portion peins to business corpoations only)
1.

2. 3.

Convicted of a felony involving a transaction in securities. consumer fraud or antitrust in any state or federal jurisdiction within the seven year period immediately preceding the execution of this certificate? Convicted of a felony. the esential etements of which consisted of fraud, misrepresenation, thef by false pretenses or restraint of this certificate? trade or monoply in any state or federal jurisdiction within the seven year period immediately preceding execution of Or are subject to an injunction, judgment, decree or permanen order of any state or federal court entered within the seven year period immediately preceding execution of this certificate where such injunction, judgment, decree or peranent order involved the violation of: (a) fraud or registration provisions of the securnies laws of that jurisdiction. or (b) the consumer fraud laws of that jurisdiction, or (c) the antnrust or restraint of trade iaws of that jurisdiction?

lOne box !! be marked: I YES 0 NO i:
If "YES", the following information must be submited as an attachment to this report for each persn subject

to one or

more of the actions stated in items 1. through 3. abve.
1.

2.

Full name and prior names used. Full birth name.
Presen home addres.

5.

Date and loction of birth.

3. 4.

6. 7.

Soial Security Number
The nature and desription of each conviction or judicial action;
the date and loction; the court and public agency involved, and

Prior addreses (for immediate
preceding 7 year period).

the file or cause number of the case.

11. STATEMENT OF BANKRUPTCY. RECEIVERSHIP or CHARTER REVOCATION (A.RS. §§10-202.D.2, 10-3202.0.2,
10-1623 & 10-11623)

A) Has the corpration filed a petition for bankruptcy or appointed a receiver lone box !! be marked: I YES 0 NO il
B) Has any persn serving as an officer, direcor, trusee or incorprator Of the corpration served in any such capacity OR held or
controlled over 200k of the issued and outstandina oomon shares, or 20% of any other oroorietarv. beneficial or membershio interest in anv cororation which has bee placed in bankruptcy, receivership or had its charter revoked, or administratively or judicially dissoived by any state or jurisdiction?

(Underlined portion peains to business corporations only1 lOne box !! be marked: I YES 0 NO ~
II "YES" to A and/or B, the followIng Information must be submit as an attachment to this reprt for each person subject to the
statem ent abve.

1. The names and addreses of each corpration and the person or persons involved. (e.g. otticer, director. trustæ or major

stockhlder)
2. The state in which each corpraion was a) incorprated b) transacted busines.

3. The dates of corprate operation. .,
4. If any involved person (listed in il1) has bee involved in

"any other bankruptcy proceeing within the past year. the name and

addres of each corpration. . ".'
5. Date. Cae number and Court where the bankruptèý Was filed or receiver appointed.
6. Nam e and addres of court appÓinted receiver.

i.. ' ..'_ "
, ....

12. SØ
I declare, under penalt of

at least one dul authorized officer or the will be re'ected.

law thil all corporate Income ta returns require by Title 43 of the Arlmna Revise Statutes have
further declare under penalty Of

complete. ,-'. ;''\
ben flted with the Arlmna Dertment 01 Revenue. I

law that I (we) have exained this report

and the certificae, Including'lmy attchments, and to the best of my (our) knowledge and belief they are true, correct and

Name JO LYN WHITE

Date 10/11/2004
173

Signature JO LYN WHITE
Title SECRETARY
(Slgnator(s) must be duly authorize corpoate olllcer(s) listed In setion 7 of this reporl)

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 11 of 16

::iAi~. Vi (,:. :,~¡',\
CO¡;;'GP,fli\(JN COMMISSION

--- .-

.... Of0.'-'!-

--

I r,erebY cer~ily tr-Ús to be a true and complete copy c1 t!ie dOClimeni fi:ed

in thiS 0 e i d "n
F¡oeNo.

0a'

174

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 12 of 16

l STATE OF ARIZONA
E-FILED CORPORATION COMMISSION
CORPORATION ANNUAL REPORT & CERTIFICATE OF DISCLOSURE

gCO~?
01383783
¡¡

: -. ~ 8 ~ --- ~

ii ~- . ~ ~;;=\i

DUE ON OR BEFORE 10/30/2005 FY05-06 FILING FEE $45.00
Th lollowing inforation is required by A.R.S. §§1o.1622 & 10.1162

lor all corprations organize pursuant to Arizona Revise

Sttutes, Title 10. The Commission's autorit to presribe this form is A.R.S. §§1o.121.A. & 1D-121.A.
YOUR REPORT MUST BE SUBMITTED ON THIS ORIGINAL FORM. Make changes or corrections where necss. Information
lor th report should relec th current staus 01 the corporation. Se instructions on page 4 lor proper format.

1. F-0967607-5 BROWNING-FERRIS INDUSTRIES, INC. 15880 N GRENWAY-HAYDEN LOOP

#100 SCOTTSDAL, AZ 85260
Business Phone:

I (Business phone is optionaL.) I

State of Domicile: DELAWAR
2.
Maling Adess: 3225 N CE AVE
City, State, Zip: PHOEN, AZ 85012

Type of Corporation: BUSINESS
Physica Adess, If Different.

statutory Agt: C T CORPRAON SYS!E

Physica Adess:

City, State, Zip: AZ

Ace USE ONLY

,.. ,.. ..rrÐ-fl..nt.1i,i.Ð-n..i"-...o.i.:¡Jr...,,l)~,i':t;.i.zirr...a...':''.ß.t;.a.t;.tzt;.()g..!l!1"l.t;.... ....
If appointing a new statutory agent, the new agent MUST consent to that appointment by signing below.
I, (inlvidus) or We, (corpratin or liited liil compy) having ben designated the new Statuory Agent,
do hereby consent to this appointment unti my removal or resignatin pursuant to law.

Fee

$

45.0C

Penal $___
Reinstae $

Exite $
Resubmit $

Signatre of new Statory Agent

Printed Name of new Statory Agent

3.

Secondary Address:
% CORPORATION TRUST COMPAN
(Foreign Corprations are
REQUIRED to complete

this section).

CORPRATION TRUST CENTER 1209 ORAGE ST WILMINGTON, DE 19801

4. CHARACTER OF BUSINESS
OTHER

Date Received: 10/28/2005

175

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 13 of 16
Page 2

F-0967607-5 BROWNING-FERRIS INDUSTRIES, INC.
5. CAPITALIZATION: (Busines Corprations and Busines Trusts are REQUIRED to complete this secion.)

Busines trusts must indicate the number of transferable certificates held by trustees evidencing their beneficial interest in the trust estate. Please examine the corpration's original Articles of Incorpration for the amount of shares authorized.
Review

all corpration amendments to determine If the original number of shares has changed. Examine the corpration's

minutes for the number of shares Issued.

Number of Shares/Certificates Authorize

Clas
COMMON

Series Within Clas (if any)

1000
Number of Shares/Certificates Issued

Clas

Series Within Clas (if any)

6. SHAREHOLh~aQ: (Business Corprations and B.lP~CWusts are REQUIRED to complete this section.)

List shareholders holding more than 20% of any clas of shares issued by fhe corpration. or having more than a 20%

beneficial interest in the corpration.

ALLIED WASTE NORTH AMRIC
7. OFFICERS

Name: STEVEN M HELM

Name: EILEEN B SCHUR
#930
HOUSTON, TX 77079 Date Taking Office: 07/30/1999

Ti tIe: OTHER OFFICER Ti tIe: VICE-PRESIDENT Address: 15880 N GREENWAY -HAYDEN LOP Address: 11757 KATY FREWAY

#100 SCOTTSDAL, AZ 85260
Date Taking Office: 07/01/2003

Name: CONNIE J GECICH
Ti tIe: OTHER OFFICER

Name: DONA W SLAGER

Title: PRESIDENT/CEO Address: 15880 N GREENWAY-HAYDEN LOP Address: 15880 N GREENWAY-HAYDEN

LOP

#100 SCOTTSDAL, AZ 85260
Date Taking Office: 06/23/2003
8. DIRECTORS

#100 SCOTTSDAL, AZ 85260
Date Taking Office: 07/30/1999

Address:
Date

Name: DONA W SLAGER 15880 N GREENWAY-HAYDEN LOP
SCOTTDAL , AZ 85260 Taking Office: 07/30/1999

#100

Address: 15880
#100

Name: JAMS E GRAY
N GREENWAY - HAYDEN

LOP

Date Taking Office: 01/22/2001

SCOTTSDAL , AZ

85260

Name: Name: THOMA P MATIN Address: 15880 N GREENWAY-HAYDEN LOOP Address: Date Taking #100

SCOTTSDAL, AZ 85260

Office:
176

Date Taking Office: 02/16/2001

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 14 of 16

Add' F-096.7607-5d" BROWNING-FERRIS INDUSTRIES, ilional officers and irectors:
OFFICERS:

INC.

Name: JO LYN WHITE
Ti tle: SECRETARY

Ti tle: TRURR

Name: THOMA P MATIN
#100 SCOTTSDAL, AZ 85260

Address: 15880 N GREENWAY-HAYDEN LOOP Address: 15880 N GREENWAY-HAYDEN

#100 SCOTTSDAL, AZ 85260
Date Taking Office: 02/16/2001

LOP

Date Taking Office: 02/16/2001

Name: DAL L PARR
Ti tle: VICE-PRESIDENT

Ti t1e:

Name:

Address: 15880 N GREENWAY-HAYDEN LOOP Address:

#100 SCOTTSDAL, AZ 85260
Date Taking Office: 11/09/2001

Date Taking Office:

Name:
Ti tle:

Name:

Address:

Date Taking Office:

Address:

Ti tle:

Date Taking Office:

Name:

Name:
Ti tle:

Address:

Ti tle:

Date Taking Office:

Address:

Date Taking Office:

DIRECTORS:

Address:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:

Adress:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:

Address:

Name:

Date Taking Office:
177

Case 1:05-cv-00738-TCW

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Page 15 of 16

Page 3

F-0967607 -5 BROWNING-FERRIS INDUSTRIES, INC.
9. FINANCIAL DISCLOSURE (A.RS. §1o.11622.A.9) Nonprofii Clrprâìions must atth a financial statement (e.g. incoe/expense statement. balance shee including asets. liabilities).
All other forms of corprations are exempt from filng a financial disclosure.

9A. MEMBERS A.R.S. § 1o.11622.A6)
Only Nonprofr Corprations must answer this quesion.

This corpration DOES 0 DOES NOT 0 have members.

10. CERTIFICATE OF DISCLOSURE (A.R.S. §§1o.1622.A.8 & 1o.11622.A.7)
Has ANY perso sering eiher by elecion or apintmen as an officer, director, trustee, incorprator and/or Derson controllna or holdjna more than 10% of the issued and autstandina common shares or 1000 of any other oroorietarv, beneficial or membershio interes in the

cororation bee: (Underlined portion peins to business coporaions only)
1.

2.
3.

Convicted of a felony involving a transaction in securities, consumer fraud or antitrust in any state or federal jurisdiction within the seven year period immediately preceding the execution of this certificate? Convicted of a felony, the esential elements of which consisted of fraud, misrepresentation, theft by false pretenses or restraint of trade or monoply in any state or federal jurisdiction within the seven year period imm ediately preceding execution of this certificate? Or are subject to an injunction, judgmen, decree or peranen oreer of any state or federal court entered within the seven year

period immediately preceding execution of this certificate where such injunction, judgment, decree or permanent order involved the
violation of: (a) fraud or registration provisions of the securities laws of that jurisdiction, or (b) the consumer fraud laws of that jurisdiction, or (c) the antrtrust or restraint of trade laws of that jurisdiction?

lone box ~ be marked: I YES 0 NO çi
If "YES", the following information must be submited as an attachment to this report for each person subject to one or
more of the actions stated in Items 1. through 3. abve.
1.

2. 3. 4.

Full name and prior names used. Full birth name. Present home addres. Prior addreses (for immediate preceding 7 yoor period).

5.

Date and loction of birth.

6. 7.

Soial Security Number
The nature and desription of each conviction or judicial action;
the date and loction; the court and public agency involved, and

the file or cause number of the case.

11. STATEMENT OF BANKRUPTCY. RECEIVERSHIP or CHARTER REVOCATION (A.R.S. §§10-202.D.2, 10-3202.0.2,
10.1623 & 10.11623)

A) Has the corpration filed a pertion for bankruptcy or appointed a receiver lone box ~ be marked: I YES 0 NO 6D
B) Has any persn serving as an Officer, direcor, trusee or incorprator of the corpration served in any such capacity OR heid or
controlled over 20% of the issued and outtandina common shares. or 20% of any other oroorietary. beneficial or membershio interest in anv cororation which has bee placed in bankruptcy, receivership or had its charter revoked. or administratively or judicially dissolved by any state or jurisdiction?

(Underlined portion pertains to business corporations only) lone box ~ be marked: I YES 0 NO ¡i
If "YES" to A and/or B, the lollowlng Information must be submited as an attachment to this reprt for each person subject to the
statement above.

1. The names and addreses of each corpration and the person or persons involved. (e.g. officer, director. trustee or major

stockhlder)
2. The state in which each corpration was a) incorprated b) transacted busines.

3. The dates of corprate operation.
4. If any involved persn (listed In #1) has bee involved in any other bankruptcy proceeing within the past year, the name and

addres of each corpration.
5. Date, Case number and Court where the bankruptcy wa filed or receiver appointed.

6. Name an addres of court appointed receiver.

12.SI~ Annual Reiirts must be sianed and dated by at least one duly authorized offcer or they will be rejected.
law that all corporate income ta returns required by Title 43 of the Arizona Revise Statutes have law that I (we) have examined this report and the certificae, Including any attchments, and to the bet of my (our) knowledge and belief they are true, correct and
I declare, under penall 01 ben filed with the Arizona Department 01 Revenue. Ilurther delare under penalty 01

complete.

JO LYN WHITE

lO/28/200!;
Date

Name

JO LYN WHITE
SECRETARY

Signature
Title
(Slgnator(s) must be duly authorize corporate olflcer(s) listed tn section 7 of this report.)

178

Case 1:05-cv-00738-TCW

Document 36-5

Filed 11/22/2006

Page 16 of 16

STATE OF AHllONl'-

CORPORAllON COMMISSION

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179