Laserfiche WebLink
<br />12. The nonprofit corporation is formed under the Colorado Revised Nonprofit Corporation Act. <br /> <br />13. The corporation will 0 OR will not D have voting members. <br /> <br />14. A description of the distribution of assets upon dissolution is attached. <br /> <br />15. Additional information may be included pursuant to *7-122-102, C.R.S. and other organic statutes. If <br />applicable, mark this box 0 and include an attachment stating the additional information. <br /> <br />Notice: <br /> <br />Causing this document to be delivered to the secretary of state for filing shall constitute the affirmation or <br />acknowledgment of each individual causing such delivery, under penalties of pel jury, that the document is the <br />individual's act and deed, or that the individual in good faith believes the document is the act and deed of the <br />person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity <br />with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic <br />statutes, and that the individual in good faith believes the facts stated in the document are true and the <br />document complies with the requirements of that Pmi, the constituent documents, and the organic statutes. <br /> <br />This peljury notice applies to each individual who causes this document to be delivered to the secretary of <br />state, whether or not such individual is named in the document as one who has caused it to be delivered. <br /> <br />16. Name(s) and addressees) of the <br />individual(s) causing the document <br />to be delivered for filing: <br /> <br />Evans <br /> <br />Rodney <br />(FirSI) <br /> <br />L <br /> <br />(Last) <br />16345 CR P <br /> <br />(Middll') <br /> <br />(SI/ffix) <br /> <br />(Slrl'l'll7l1/l7l' al7d 1711/17hi'r or PosI Of/icl' Box il7fiJrlllaliol7) <br /> <br />Cortez <br /> <br />CO <br /> <br />81321 <br /> <br />(Ci l1) <br /> <br />(Slall') (Poslal/Lip Codl') <br />United States <br /> <br />(Provillcl' - if'appIiCllhll') <br /> <br />(Co1/1I11Y - if'1I01 US) <br /> <br />(Thl' dOCI/III1'II1111'I'd 1101 slall' Ihl' IrIll' lIallll' allll addrl'ss of'lIIorl' Ihallolll' illdividllal. HlJl\"I'Vi'r. i(YOI/ wish 10 slall' Ihl' lIallll' alld addrl'ss <br />of'allY addiliollal illdividllals cal/sillg Ihl' docl/lIIl'n/lo hI' dl'liwrl'dfiJrfilillg. lIIark Ihis hox D alld illcllldl' 11/1 allachllll'1I1 slalillg Ihl' <br />IWIIII' allll addrl'ss of'sllch illdividl/als.) <br /> <br />Disclaimer: <br /> <br />This form, and any related instructions, are not intended to provide legal, business or tax advice, and are <br />offered as a public service without representation or warranty. While this form is believed to satisfy minimum <br />legal requirements as of its revision date, compliance with applicable law, as the same may be amended from <br />time to time, remains the responsibility of the user of this form. Questions should be addressed to the user's <br />attorney. <br /> <br />ARTINC_NPC <br /> <br />Page3of3 <br /> <br />Rev. 11/16/2005 <br />