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12. The nonprofit corporation is formed under the Colorado Revised Nonprofit Corporarion Act. <br />13. The corporation will 21 OR will not ? have voting members. <br />14. A description of the distribution of assets upon dissolution is attached. <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 ID and inc(ude an attachmer.t stating the additional information. <br />Notice: <br />Causing this document to be delivered to the secretary of stLte for filing shall constitute the affirmation or <br />acknowledgment of each individual causing such delivery, iir?der penalries of perjury, that the document is the <br />individual's act and deed, or that the individual in good faitY. believes the document is the act and deed of the <br />person on whose behalf the individual is causing the docum,-nt 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 f,-u;ts stated in the document are true and the <br />document complies with the requirements of that Part, the cons6tuent documents, and the organic statutes. <br />This perjury 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 documi;nt as one who has caused it to be delivered. <br />16. Name(s) and address(es) of the <br />individual(s) causing the document <br />to be delivered for filing: TrOUt _ RObeft V. <br />(Last) (Firs?) (Mtddle) (SuJjls) <br />1120 Lincoln Street <br />Su ite 160bStret t name and number or Post ?ce Box injormation) <br />Denver CO 80203 <br />(Ciry) (State) (Postal/Lip Code) <br />Urnted States <br />(Province-ijulplicable) (Country -ijnot US) <br />(The documen( need not state the lrue nume and address ojmore rhan o ie individual. However, iJyou wish to state the name and address <br />ojany additional individuals causrrtg the document !a be deJiveredjorj iJing, mark this boz ? and include an attachment starirsg the <br />nume and address ofsuch inJividuals.) <br />Disclaimer: <br />This form, and any related instructions, are not intended to provide legal, business or tax advice, and aze <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 a.:)plicable law, as the same may be amended from <br />time to time, remains the responsibility of the user of this fo rm. Questions should be addressed to the user's <br />attomey. <br />ARTINC_NPC Page 3 of 3 Rev. 3128/2005