Local Workforce Development Board Membership Certification or Recertification Form Local Workforce Development Board: ___NEMO Workforce Development Board_______________________________ Attach more forms as needed FEIN ** for Appointee’s Company or Organization, Appointee’s Member Nominating Business Member Replaced Mailing address, phone #, Name & Title Category* Organization Nominees (if applicable) fax # and email address Only Dennis Gill, Owner Business Mark Lake Timber Ridge Resort 22764 Joanna Drive Chamber of Perry, MO 63462 Commerce Phone: 573-565-3135 Fax: 573-565-3901 Kami Mohn, Manager of Business Hannibal Area Northeast Missouri Electric Power Gordon Ipson Economic Development & Cooperative Chamber of Member Services PO Box 191, 3705 Business 61 Commerce Palmyra, MO 63461 Phone: 573-769-8215 Fax: 573-769-4358 Email: Darren Arnsmeyer, Manager Business The Greater New Florence Wood Products 49 Stave Mill Road Montgomery County New Florence, MO 63363 Economic Phone: 573-252-2517 Development Council Fax: 573-252-2516 Email: Pat Poepping, Owner/Operator Business Hannibal Area Poepping Stone Bach & Associates, Inc. 100 South 54th Street Chamber of Quincy, IL 62305 Commerce Phone: 217-223-4605 Fax: 217-223-1546 Email: Diane Noah, Executive Business HomeCare of HomeCare of Mid-Missouri 102 W Reed Street Director Moberly, Mo Phone: 660-263-1517 Fax: 660-263-8033 Email:
Local Workforce Development Board Membership Certification or Recertification Form Local Workforce Development Board: ___NEMO Workforce Development Board_______________________________ Attach more forms as needed Appointee’s Name & Title Member Category* Nominating Organization Appointee’s Company or Organization, Mailing address, phone #, fax # and email address FEIN ** for Business Nominees Only Member Replaced (if applicable) Dennis Gill, Owner Business Mark Lake Chamber of Commerce Timber Ridge Resort 22764 Joanna Drive Perry, MO 63462 Phone: 573-565-3135 Fax: 573-565-3901 Kami Mohn, Manager of Economic Development & Member Services Business Hannibal Area Chamber of Commerce Northeast Missouri Electric Power Cooperative PO Box 191, 3705 Business 61 Palmyra, MO 63461 Phone: 573-769-8215 Fax: 573-769-4358 Email: Gordon Ipson Darren Arnsmeyer, Manager Business The Greater Montgomery County Economic Development Council New Florence Wood Products 49 Stave Mill Road New Florence, MO 63363 Phone: 573-252-2517 Fax: 573-252-2516 Email: Pat Poepping, Owner/Operator Business Hannibal Area Chamber of Commerce Poepping Stone Bach & Associates, Inc. 100 South 54th Street Quincy, IL 62305 Phone: 217-223-4605 Fax: 217-223-1546 Email: Diane Noah, Executive Director Business HomeCare of HomeCare of Mid-Missouri 102 W Reed Street Moberly, Mo Phone: 660-263-1517 Fax: 660-263-8033 Email:
NEMO-Board-Certification-Information-8-31-15-Updated-Approved-5-16-16.docx