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PRIVATE NONPROFIT SPECIAL NEEDS
TRANSPORTATION PROVIDERS
2016
ANNUAL REPORT
FOR
dba:
(REGISTERED NAME OF BUSINESS)
(OFFICIAL MAILING ADDRESS)
(CITY) (STATE)
Report Year Ended: December 31, 2016
Inquiries concerning this Annual Report should be addressed to:
Name/Title:
Address:
City:
State/Zip:
Telephone:
Email:
SUBMIT TO:
WASHINGTON UTILITIES AND TRANSPORTATION COMMISSION
PO Box 47250
Olympia, WA 98504-7250
File online:
REPORT MUST BE RECEIVED NO LATER THAN MAY 1, 2017
***Please refer to the Instructions for Completing the Annual Report on Page 2***
www.utc.wa.gov
Please check if address listed above is an updated address