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10 <br />EXHIBIT A <br />BUSINESS ASSISTANCE APPLICATION <br />A. APPLICANT INFORMATION <br />Name of Corporation/Partnership SLP Ex, LLC and AMP Ex <br />Address 200 South 6th Street Suite 1300, Minneapolis, MN 55402 <br />Primary Contact tfuerst@deltamodtech.com - Toby Fuerst <br />Address <br />11501 Eagle St. NW Coon Rapids, MN 55448 <br />Phone 763-755-7744 Fax 763-755-7799 <br />E-mail <br />Type of business assistance requested (select one): <br />❑ Tax Abatement •Tax Increment Financing Revolving Loan Fund Other <br />Have you been, or are you currently, involved in any bankruptcy proceedings or lawsuits related to <br />other development projects with which you have been involved? If yes, please provide an <br />explanation. <br />❑ Yes ❑No <br />On a separate sheet, please provide the following: <br />• Brief description of the corporation/partnership's business, including history, principal product <br />or service, etc. Attach as Part 1. <br />• List names of officers and shareholders/partners with more than five percent (5%) interest in <br />the corporation/partnership. Attach as Part 2. <br />• Brief description of the proposed project. Attach as Part 3. <br />• A but for analysis and narrative. Attach as Part 4. <br />• Completed Revolving Loan Fund Application. Attach as Part 5 if required. <br />Attorney Name Messerli & Kramer- John W. Lang <br />Address 1400 Fifth Street Towers 100 South Fifth Street Minneapolis, MN 55402 <br />Phone 612.672.3614 Fax E-mail jlang@MesserliKramer.com <br />Contractor Name Kinghorn Company <br />Address 21830 Industrial Court, Rogers, MN 55374 <br />Phone 763-428-8088 Fax E-mail <br />Engineer Name Anderson Engineering <br />Address 13605 1st Avenue North, Suite 100 Plymouth, MN 55441 <br />Phone 763-412-4000 Fax 763-412-4000 E-mail <br />Architect Name HTG Architects <br />Address 9300 Hennepin Town Road, Minneapolis, MN 55347 <br />Phone 952-2788-8880 Fax E-mail <br />