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8. Other change(s)not provided for above: <br /> If other information contained in the filed document is being changed, mark this box 0 and <br /> include an attachment stating the information to be changed and each such change. <br /> If other information is being added or deleted, mark this box 0 and include an attachment <br /> stating each addition or.deletion. <br /> 9. (Optional) Delayed effective date: <br /> (mut/cid/my) <br /> Notice: <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 perjury,that such document is <br /> such individual's act and deed,or that such individual in good faith believes such document is the act and deed <br /> of the person on whose behalf such individual is causing such document to be delivered for filing,taken in <br /> • <br /> conformity with the requirements of part 3 of article 90 of title 7,C.R.S. and,if applicable,the constituent <br /> documents and the organic statutes,and that such individual in good faith believes the facts stated in such <br /> document are true and such document complies with the requirements of that Part,the constituent documents, <br /> .and the organic statutes. <br /> • <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 identified in this document as one who has caused it to be delivered. <br /> 10. The true name and mailing address of the individual causing this document to be delivered for filing are <br /> Raasch Robin <br /> 1000 Loui�ranla Street (First) (Middle) (Suffix) <br /> Suite 2800 (Street number and name or Post Office Box information) <br /> Houston (T�Xr�) 77002 <br /> (Ctry) Unitsea States (ZIP/Postal Code) <br /> (Province-if applicable) (Country) <br /> (If applicable,adopt the following statement by marking the box and include an attachment) <br /> 1,,,4 This document contains the true name and mailing address of one or more additional individuals <br /> causing the document to be delivered for filing. <br /> Disclaimer: <br /> This form/cover sheet, and any related instructions,are not intended to provide legal,business or tax advice, <br /> and are furnished without representation orwarranty. While this form/cover sheet is believed to satisfy <br /> minimum legal requirements as of its revision date,compliance with applicable law,as the same may be <br /> amended from time to time,remains the responsibility of the user of this form/cover sheet. Questions should <br /> be addressed to the user's legal,business or tax advisor(s). <br /> CHANGE_OTHER Page 2 oft Rev. 12/01/2009 <br /> con'•I an 1,2009 CTSvu,,,OrJine <br />