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® Colorado Secretary of State <br /> Date and Time: 04/05/2017 10:56 AM <br /> Document must be filed electronically. ID Number: 19971030646 <br /> Paper documents are not accepted. <br /> Fees&forms are subject to change. Document number: 20171272633 <br /> For more information or to print copies Amount Paid: $10.00 <br /> of filed documents,visit www.sos.state.co.us. <br /> ABOVE SPACE FOR OFFICE USE ONLY <br /> Periodic Report <br /> filed pursuant to§7-90-301,et seq.and§7-90-501 of the Colorado Revised Statutes(C.R.S) <br /> ID number: 19971030646 <br /> Entity name: BLUE MOUNTAIN STONE, INC. <br /> Jurisdiction under the law of which the <br /> entity was formed or registered: Colorado <br /> 1.Principal office street address: 4168 UTE HWY <br /> (Street name and number) <br /> LONGMONT CO 80503 <br /> (City) (State) (Postal/Zip Code) <br /> United States <br /> (Province—if applicable) (Country—if not US) <br /> 2.Principal office mailing address: <br /> (if different from above) (Street name and number or Post Office Box information) <br /> (City) (State) (Postal/Zip Code) <br /> (Province—if applicable) (Country—if not US) <br /> 3.Registered agent name: (if an individual) BRENNAN STEPHANIE L. <br /> (Last) (First) (Middle) (Suffix) <br /> or (if a business organization) <br /> 4.The person identified above as registered agent has consented to being so appointed. <br /> 5.Registered agent street address: 4860 RIVERBEND ROAD <br /> (Street name and number) <br /> BOULDER Co 80301 <br /> (City) (State) (PostaYZip Code) <br /> 6.Registered agent mailing address: P.O. BOX 17850 <br /> (if different from above) (Street name and number or Post Office Box information) <br /> BOULDER CO 80308 <br /> (City) (State) (PostaWip Code) <br /> United States <br /> (Province—if applicable) (Country-if not US) <br /> REPORT Page 1 of Rev.12/01/2012 <br />