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10 <br /> EXHIBIT A <br /> BUSINESS ASSISTANCE APPLICATION <br /> A. APPLICANT INFORMATION <br /> Name of Corp oration/Partnership Medart, Inc. <br /> Address 124 Manufacturers Drive, Arnold, MO 63010-4727 <br /> Primary Contact Michael Medart <br /> Address 124 Manufacturers Drive, Arnold, MO 63010-4727 <br /> Phone (636) 282-2300 Fax E-mail jmmedart@medartinc.com <br /> Type of business assistance requested(select one): <br /> ❑ Tax Abatement KTax Increment Financing E]Revolving Loan Fund E]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 /> F-1 Yes FEW N o <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 Doug Whitlock; Berger, Cohen & Brandt <br /> Address 8000 Maryland Ave. #1500, Clayton, MO 63105 <br /> Phone 314-721-7272 Fax E-mail dwhitlock@bcblawlc.com <br /> Contractor Name Jeff Buckley - Rochon Corp <br /> Address 28 2nd Street NW, Osseo MN 55369 <br /> Phone 763-559-9393 Fax 736-559-8101 E-mail jbuckley@rochoncorp.com <br /> Engineer Name <br /> Address <br /> Phone Fax E-mail <br /> Architect Name James Berthiaume - Lampert Architects <br /> Address 420 Summit Ave, St Paul MN 55102 <br /> Phone 763-755-1211 Fax 763-757-2849 E-mail <br />