Laserfiche WebLink
Document processing fee � <br />If document is filed on paper $100.00 <br />If document is filed electronically $ 10.00 <br />Late fee if enrity is in noncompliant status <br />If document is filed on paper $ 50.00 <br />If document is filed electronically $ 40.00 <br />Fees & forms/cover sheets <br />are subject to change. <br />To file electronically, access instrucrions <br />for this form/cover sheet and other <br />information or print copies of filed <br />documents, visit www.sos.state.co.us <br />and select Business Center. <br />Paper documents must be typewritten or machine printed. <br />Colorado Secretary of State <br />Date and Time: 06/30/2008 08:00 AM <br />Id Number: 19911034461 <br />Document number: 20081348869 <br />ABOVE SPACE FOR OFFICE USE ONLY <br />Annual Report <br />filed pursuant to §7-90-301, et seq. and §7-90-501 of the Colorado Revised Statutes (C.R.S) <br />ID number: <br />Enrity name: <br />Jurisdiction under the law of which the <br />entity was formed or registered: <br />You must complete line 1. <br />19911034461 <br />THE RIVERSIDE DITCH AND ALLEN EXTENSION COMPANY <br />Colorado <br />Notice: <br />Causing this document to be delivered to the secretary of state for filing shall constitute the affirmarion or <br />acknowledgment of each individual causing such delivery, under penalties of perjury, that the docuxnent 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 Part, the constituent documents, and the organic statutes. <br />This perjury norice 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 />1. Name(s) and address(es) of the <br />individual(s) causing the document <br />to be delivered for filing: <br />Hanrahan Laurie <br />(Last) (First) (Middle) (Suf�'ix) <br />16105 County Road 384 <br />(Street name and number or Post O�ce Box information) <br />Buena Vista CO 81211 <br />(City) (State) (Postal/Zip Code) <br />(Province — if applicable) (Country — if not US) <br />(The document need not state the true name and address of more than one individual. However, if you wish to state the name and address <br />of any additional individuals causing the document to be delivered for filing, mark this box ❑ and include an attachment stating the <br />name and address ofsuch individuals.) <br />REPORT Page 1 of2 Rev. O1/O1/2008 <br />