C153314 Change of Name

• Contract/PO #: C153314
• Contractor Name: Town of Parachute
• Contract Type: Loan
• Loan Projects - Doc Type: Contract Documents

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8.Other change(s)not provided for above:
If other information contained in the filed document is being changed, mark this box 0 and
include an attachment stating the information to be changed and each such change.
If other information is being added or deleted,mark this box 0 and include an attachment
stating each addition or deletion.
9.(Optional) Delayed effective date:
(mu✓dd/riyy)
Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery,under penalties of perjury,that such document is
such individual's act and deed,or that such individual in good faith believes such document is the act and deed
of the.person on whose behalf such individual is causing such document to be delivered for filing,taken in
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conformity with the requirements of part 3 of article 90 of title 7,C.R.S.and,if applicable,the constituent
documents and the organic statutes,and that such individual in good faith believes the facts stated in such
document are true and such document complies with the requirements of that Part,the constituent documents,
and the organic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the Secretary of
State,whether or not such individual is identified in this document as one who has caused it to be delivered.
10. The true name and mailing address of the individual causing this document to be delivered for filing are
Raasch �� Robin '• .
1000 Loui�ren8 Street (Firs:) (Middle) (Si )
Suite 2800 (Street number and name or Post Office Box infarmallon)
Houston TX 77002
rcltyJ Unifeecl' ates (ZIP/Postal code)
(Province-if applicable) (Country)
(If applicable,adopt the following statement by marking the box and include an attachment.)
This document contains the true name and mailing address of one or more additional individuals
causing the document to be delivered for filing.
Disclaimer:
This form/cover sheet,and any related instructions,are not intended to provide legal,business or tax advice,
and are furnished without representation orwarranty. While this form/cover sheet is believed to satisfy
minimum legal requirements as of its revision date,compliance with applicable law,as the same may be
amended from time to time,remains the responsibility of the user of this form/cover sheet. Questions should
be addressed to the user's legal,business or tax advisor(s).
CHANGE OTHER Page 2of2 Rev.12/'01/2009
CO1121•I VI I/200,C T SFi nu Online