9624701b

EXHIBIT B ORGANIZATIONAL INFORMATION DIRECTORS and OFFICERS LIABILITY INSURANCE

Agency:

Address:

Phone:

Fax:

Executive Director:

Legal Authority:

Sunset Act:

Employees:

Financial Information:	Current Year	Prior Year	Budget
Revenues	_________________	_________________	_________________
Expenditures	_________________	_________________	_________________
Surplus/Deficit	_________________	_________________	_________________

Governing Body:

Commission Members

__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________

Mission Statement:

Description and History:

Go to Exhibit A

Go to Directors and Officers Form

Go to Numeric Index

9624701b

Required Plug-ins