Laserfiche WebLink
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 aunrber and Home) <br /> Grand Junction Co 81515 <br /> (City) U1Ate) (Z1P/PoslalCode) <br /> (Province—itapplrcable) S$.(Ca,ntry) <br /> Mailing address <br /> (leave blank if same as street address) (Street number and name or Post Office Box irjarmadon) <br /> (Cdty) (Stale) (mP/Postat Code) <br /> (Province—ifapplicable) (Cotttrtry) <br /> 3. Each merging entity has been merged into the surviving entity. <br /> 4.(!f tbefotlowing statement applies,adopt the stutemamf by ntorktng Oho 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 Part 3 of Article 90 of Title 7,C.R.S. <br /> 5.{ljthsjollowiug statenrertt applies.adopt the statement by marking the boar and siota the appropriate docraaeal numbd(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 /> (If rite following srntenrent applies adopt the statement by nenrking the box turd itrchale 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. (!f applicable,adopt thefotlowing staternenl by marking the bar and Inslttde an attachore»t) <br /> ❑ This document contains additional information as provided by law. <br /> 7.(Caution: i,eave blank ff the document does not have a delayed effective date. Stating a delayed effective date has significant <br /> legal consequences. Read inshuctions before entering a date.) <br /> (lfAro following statement applies,adopt the srareurerrl by entering a date and,if applicable,lime axing the required forwent) <br /> The delayed effective date and,if applicable,time of this document are <br /> (nmtlddlMy hour:minute ant/pm) <br /> MERGE—DOM Pagc 3 of 4 Rev.5129l2001 <br />