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Bls Company Information
Known
Date of formation
State of formation
B LLC members/managers and spouses
Title
Name
Address/telephone number
Birthdate
Social Security
number
% or units
owned
Member
Manager
Spouse of above
Member
Manager
Spouse of above
Member
Manager
Spouse of above
Member
Manager
Spouse of above
Please attach additional sheets if necessary, in same format
C Certification
The undersigned hereby certifies to the Washington State Liquor and Cannabis Board and Lottery Commission, that
the...
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