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07-09-'21 08:39 FRONT- T-380 P0004/0006 F-200 <br /> Form of entity Corporation <br /> Jurisdiction Colorado <br /> Street address 2273 River Road <br /> (Shaar mrmbar and Warne) <br /> Grand Junction CO 81515 <br /> (City) US ime) (Z(P/Postal Code) <br /> (Province-ifapplicabie) (Country) <br /> Mailinc address <br /> (leave blank if same as street address) (Street nunrher and name or Post Office Box injortnadart) <br /> (Ctry) (State) (LIP/Postal Code) <br /> (Province-ifopplicable) (County) <br /> 3. Each merging entity has been merged into the surviving entity. <br /> 4.(ljthejotlowing statement applies,adopt the statenrrnr by marking the box.) <br /> The plan of merger provides for amendments to a constituent filed document of the surviving entity and <br /> an appropriate statement of change or other document effecting the amendments will be delivered to the <br /> Secretary of State for filing pursuant to Pan 3 of Article 90 of Title 7,C.R.S. <br /> 5.(fjthejallonzng statement applies,adopt the statement by marking the box and state the appropriare datrrnrenl+utn+bEr(s}.) <br /> ❑ One or more of the merging entitles is a registrant of a trademark described in a filed document in the <br /> records of the secretary of state and the document number of each filed document is <br /> Document number <br /> Document number <br /> Document number <br /> (lf die followingstarernenr applies,adopt she statement by marking the box and inchrde an attachment) <br /> ❑ There are more than three trademarks and the document number of each additional trademark is <br /> stated in an attachment. <br /> 6. (lf applicable,adopt thejolfowing statement by marking the boor and Include an attachntem.) <br /> ❑ This document contains additional information as provided by law. <br /> 7.(Caution: leave blank ifthe document does not have a delayed effective date. Stating a delayed effective date has sigtrificant <br /> legal consequences. Read inshwotions before entering a date.) <br /> (If the following statement applies,adopt the statemtend by entering a date and,if applicable,time using the raquirad format) <br /> The delayed effective date and,if applicable,time of this document are <br /> llwntldd lyyyy hour:minute axVpet) <br /> MERGE DOM Page 3 of 4 Rev.5/29/2007 <br />