Form 1 -BUSINESS ORGANIZATION INFORMATION CORPORATION, L

Note: Either a Form 1 or Form 2 is completed for each proposal, depending on the nature of ownership of the company.

FORM 1

Business Organization Information

Corporation, Limited Liability Company, Partnership

Or Joint Venture

(Principal Selection Factor 3)

Complete separate form for the submitting business entity and any and all parent entities.

Name of Entity and Trade-name, if any
Address
Telephone Number
Fax Number
Email Address
Contact Person
Title
Tax ID#
State of Formation
Date of Formation

Ownership	Percentage of Ownership Interests	Current Value of Investment
Names and Addresses of those with controlling interest and key principals of business
Total Interests Outstanding and Type(s):

Officers and Directors or General Partners or Managing Members OR Venturers	Address	Title and/or Affiliation

Attach the following:

• Description of relationship of any and all parent entities to the Offeror with respect to funding and management.

Paperwork Reduction Act Statement. We collect this information under the authority of Title IV of the National Parks Omnibus Management Act of 1998 (Pub. L. 105–391). We use this information to evaluate a concession proposal. Your response is required to obtain or retain a benefit. We estimate that it will take you 1 hour to complete this form. This estimate includes time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form.

You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer, National Park Service, 1849 C Street, NW. (2601), Washington, DC 20240. We may not collect or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number.