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SS City of Sioux Falls Transportation Network Company: Business License Application a 7 Renewal MM New Application For Year: 2016 ‘BUSINESS INFORMATION Business Name (as it will appear on license): _Rasien LLC Business Address: 1455 Market Street, 4th Floor, San Francisco, CA 94103 isda Business Phone: 415-952-7086 Business email address: _ regulatory@uber.com SD Sales Tax Number: nla Verified by Licensing Specialist [business is partnership or corporation, please provide name and address of each partnerloflicer: Name: Karen Walker, Manager Address: _1455 Market St, 4h Fl, San Francisco, CA S4t03 sautam Gupta, Manager Address: __ 1485 Market St, 4th Fl,, San Francisco, CA 94103 BUSINESS OWNER (APPLICANT) INFORMATION Name: Rasier, LLC Address 1455 Market Street, 4th Floor City, State, ZIP ‘San Francisco, CA 94103 Phone: 415-952-7096 Is applicant also the contact person? J Yes. {No If not, who is the contact person for this application: Contact Name: ‘Scott Binnings, Selene Hakobyan ‘Address: 1455 Market Street, th Floor, San Francisco, CA 94103 Service of Process Agent Name/Address/Phone “The Corporation Trust Company / Corporation Trust Center 1209 Orange St., Wilmington, DE 19801 Phone number, 302-658-7581 A general description of activity to be carried on under this license: __Rasier, LLC obtains and holds transportation network company licenses. ‘and contracts with driver partners who provide transportation network services throughout the country. INSURANCE INFORMATION Name: Insurance Agent’s Name and Company Aon Risk Insurance Services West, Inc Insurance Company: James River Compa! Agent's Phone Number 886-283-7122 Agent’s email tva (physical address: 425 Market Street, Suite 2800, San Francisco, CA 94105) x Boe ofr ip ‘Applicant's Signature ate ‘TO BE COMPLETED BY CITY OF SIOUX FALLS, A fee of $1500.00 annual fee has been paid to the City of Sioux Falls as recorded on: | Receipt # Submit completed application toz Jamie L. Palmer, Licensing Specialist, Licensing Office, 224 West Ninth Street, P.O. Box 7402, Sioux Falls, SD 57117-7402 Contact Info: jnalmer@sioustals.ore or (605) 367-8082 Licensing Speciaistntrainent Service Linensing\License\Vehile for itTNC Business License Application dees