_______________________________________________________

___________________________________________________
_______________________________________________

LIST OF OFFICERS and THEIR ADDRESSES

President :
Address :

Vice President :
Address :

Secretary :
Address :

Treasurer :
Address :

Auditor :
Address :

P.R.O. :
Address :

Board Member :
Address :

Board Member :
Address :

Board Member :
Address :

Board Member :
Address :
Board Member :
Address :

Board Member :
Address :

Board Member :
Address :
 2

Board Member :
Address :

CERTIFIED TRUE AND CORRECT:

______________________________
ATTESTED BY: Secretary
ID No. ________________________

____________________________
President
ID No. ______________________

SUBSCRIBED AND SWORN TO before me this ____th day of

________________, 2018, here at ___________________, affiants exhibited to me their
respective government identification cards indicated below their names as proof of their
identities.

Doc. No. _____

Page No. _____ Notary Public
Book No. _____
Series of 2018.