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02 May 2016 10:26AM HP LASERJET FAX 970-276-2002 p.2 <br />8. Registered agent mailing address <br />(if different from above): <br />9. Name(s) and mailing address(es) <br />of person(s) forming the limited <br />liability company: <br />(City) (State) (Postal/Zip Code) <br />(Street name and number or Past Office Box lnformalion) <br />(City) <br />(State) (Postal/Zip Code) <br />(Province - if applicable) (Country - If not US) <br />(if an individual): Brennise <br />OR (ifa business organization): <br />Scott R. <br />(Last) (First) (Middle) (Suffix) <br />5801 Highway 394 <br />(Street name and number or Part Office Box information) <br />Craig CO 81625 <br />(Ctry/ Unati States (Pas/al/Ztp Code) <br />(Province - {f applicable) (Country - (/'nut US) <br />(if an individual) Brennise <br />OR (ifa business organization) <br />(if an individual) <br />OR (if a business organization) <br />(fit) <br />Sheila M. <br />(First) (Middle) (&iff.x) <br />5801 Highway 394 <br />(Street name and number ,r Past peke Sox informalion) <br />Craig CO 81625 <br /><c;n) Un eiVStates (P'ostnlrz r, Code) <br />(Province - lfapplicable) (Counny-ifnot US) <br />(Last) (First) (Middle) Oi r) <br />(Street name and number or Post Office Box Information) <br />(City) <br />Unli@S)StateS (Postal/Zip Code) <br />(Province - if applicable) (Country- if not US) <br />(if more than three persons are forming the limited liability company, mark this box and include on attachment staring the true <br />names and malting addresses of all ark)itiona( persons farmbrg the limited 'lability company) <br />Rev, 6/14/2004 <br />2 of3 <br />