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["参考様式9別紙"]
["役 員 等 名 簿"]
[]
[{"$nulls":9},"申請者（法人）名",null,null,null,"特定非営利活動法人　　　　　　　　（ホームヘルパー福祉センター）"]
["（ふりがな）",null,null,null,"生年月日",{"$nulls":4},"住　　所",{"$nulls":7},"押印"]
["氏　　名",null,null,null,"役職名・呼称",{"$nulls":4},"TEL",null,null,null,"FAX"]
["平出　田鶴子",null,null,null,"1934-01-01",{"$nulls":4},"横浜市鶴見区上の宮一丁目18番7号"]
[{"$nulls":4},"代表理事",{"$nulls":4},"045-580-0070",null,null,null,"045-580-0070"]
["森　道子",null,null,null,"1936-08-11",{"$nulls":4},"横浜市戸塚区南舞岡四丁目16番7号"]
[{"$nulls":4},"理事",{"$nulls":4},"045-822-3794",null,null,null,"045-822-3794"]
["徳永　裕子",null,null,null,"1955-02-04",{"$nulls":4},"横浜市鶴見区鶴見中央三丁目14番15号713号"]
[{"$nulls":4},"理事",{"$nulls":4},"045-503-4312",null,null,null,"なし"]
["鈴木　美智子",null,null,null,"1946-06-27",{"$nulls":4},"横浜市都筑区池辺町2743番地"]
[{"$nulls":4},"理事",{"$nulls":4},"045-942-7592",null,null,null,"なし"]
["菅野　須美枝",null,null,null,"1953-11-15",{"$nulls":4},"横浜市鶴見区北寺尾五丁目7番16号岡野方"]
[{"$nulls":4},"理事",{"$nulls":4},"045-573-2306",null,null,null,"なし"]
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["注","　当該法人の役員（業務を執行する社員、取締役、執行役又はこれらに準ずる者をいい、相談役、顧問その他いかなる名称を有する者であるかを問わず、法人に対し業務を執行する社員、取締役、執行役又はこれらに準ずる者と同等以上の支配力を有するものと認められる者を含む。）及び事業所を管理する者について記入・押印してください。　"]