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07-09-'21 03:39 FROM- T-330 P0004/0006 F-200 <br /> Form of entity Corporation <br /> Jurisdiction Colorado <br /> Street address 2273 River Road <br /> (Street number and name) <br /> Grand Junction co 81515 <br /> (oily) U State) (ZIP/Postal Code) <br /> gA <br /> (Province—ifapplicable) (Ca,rrtry) <br /> Mailing address <br /> (leave blank if same as street address) (Street rrutnher and name or Post Office Box informadem) <br /> (City) (Slate) MplPostal Code) <br /> (Province—ifapplicable) (Canrtry) <br /> 3. Each merging entity has been merged into the surviving entity. <br /> 4.(lftbe following statement appliet,adopt the stutenee�U by rna)-king the box.) <br /> ❑ The plan of merger provides for amendments to a constituent filcd document of the surviving cntity 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 Part 3 of Article 90 of Title 7,C.R.S. <br /> 5.f f thefollarting sraremaert applies,adopt the slatmrreni by marking the bar and stare the appropriate docr�nreat aruuber(s).) <br /> ❑ One or more of the merging entities 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 /> (fthefollowing statement applies,adopt the statement by marking the box and include an attachment.) <br /> There are more than three trademarks and the document number of each additional trademark is <br /> statcd in an attachment. <br /> 6. (rfopplicable,adopt thefollowing statement by marking the bar and include at allachnrew) <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 dare has significant <br /> legal consequences. Read insimclions before entering a date.) <br /> (fthe following statement applies,adopt the statement by entering a date and,if applicable,lima using the required formal.) <br /> The delayed effective date and,if applicable,time of this document are <br /> (nunlddlyyyy horn-:minute anr/pm) <br /> MCRGE—DOM Page 3 of 4 Rev.5/29/2007 <br />