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Norwood, <br />(CnY) <br />Co 81423 <br />(State) (ZIP Code) <br />e following statement is adopted by marking the box.) <br />✓ The person appointed as registered agent has consented to being so appointed. <br />4. The true name and mailing address of the person forming the limited liability company are <br />Name <br />(if an individual) Marolf Ernest J. <br />(Last) (First) (Middle) <br />or <br />(if an entity) <br />(Caution: Do not provide both an individual and an entity name.) <br />Mailing address 650 Mountain View Lane <br />(Street number and name or Post Office Box information) <br />Norwood <br />(airy) <br />(Province — if applicable) <br />CO 81423 <br />(State) (ZIP /Postal Code) <br />United States <br />(Country) <br />(If the following statement applies, adopt the statement by marking the box and include an attachment) <br />❑ The limited liability company has one or more additional persons forming the limited liability <br />company and the name and mailing address of each such person are stated in an attachment. <br />5. The management of the limited liability company is vested in <br />(Mark the applicable box) <br />�✓ one or more managers. <br />or <br />the members. <br />6. (The following statement is adopted by marking the box) <br />My/ There is at least one member of the limited liability company. <br />7. (If the following statement applies, adopt the statement by marking the box and include an attachment) <br />M This document contains additional information as provided by law. <br />8. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has <br />significant legal consequences. Read instructions before entering a date.) <br />(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format) <br />The delayed effective date and, if applicable, time of this document is /are <br />(Suffix) <br />(mmldd/yyyy hour: minute am/pm) <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 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 Part, the constituent documents, and the organic statutes. <br />ARTORG_LLC Page 2 of 3 Rev. 12/01/2012 <br />