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02 May 2016 10:26AM HP LASERJET FAX 970-276-2002 p.3 <br />10. The management of the limited liability company is vested in managers Q <br />OR is vested in the members 0. <br />11. There is at least one member of the Iimited liability company. <br />12. (Optional) Delayed effective date: <br />(mm/ddhb py) <br />13. Additional information may be included pursuant to other organic statutes such as title 12, C.R.S. If <br />applicable, mark this box 1 and include an attachment stating the additional information. <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 />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 named in the document as one who has caused it to be delivered. <br />14. Name(s) and address(es) of the <br />individual(s) causing the document <br />to be delivered for filing: <br />Romney Sherman <br />458 Yarciriii Ave. #110 (F'"') <br />(Middle) (S: r) <br />(Street name and number or Post Office Bar Information) <br />Craig <br />CO 81625 <br />(Cin) <br />Ur( d States (Posdal.Z;p Code) <br />(Province — (japp(kable) (Country - ijnot US) <br />(Thr docunrent,acrd not state the true Hume and address of more that one individual. Hou ever. tfyou wish to .trate the name and address <br />ofany addltiara( lndividuu/a centring the document to be delivered for Ping. mark this box and Include on attachmen:trlatrng lire name <br />and address of such indlvichials.) <br />Disclaimer: <br />This form, and any related instructions, are not intended to provide legal, business Of tax advice, and are <br />offered as a public service without representation or warranty. While this form is believed to satisfy minimum <br />legal requirements as of its revision date, compliance with applicable law, as the same may be amended from <br />time to time, remains the responsibility of the user of this form. Questions should be addressed to the user's <br />attorney. <br />Rev. 6/1412004 <br />3 of3 <br />