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07-09-'21 08:39 FROM- T-380 P0004/0006 F-200 <br /> Form of entity Corporation <br /> Jurisdiction Colorado <br /> Street address 2273 River Road <br /> (Shwa cumber and name) <br /> Grand Junction CO 81515 <br /> MW U 1Srarel (WP/POSW code) <br /> (Prow)w-ifapplicable) .(Country) <br /> ailin address <br /> (leave blank if sarm at stmet address) (area number and name or Post Office Box infhrmatlan) <br /> (101y) (Stale) (ZlP/F ante!Code) <br /> (Pmduce-ifopplimble) (Coantry) <br /> 3. Each merging entity has been merged into the surviving entity. <br /> 4.(lf ihafanawing watenumt appitaa.adapt the-ti o ae4t by marling 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 Part 3 of Article 90 ofTitle 7,C.R.S. <br /> 5.{(frgefollonfrl2?rarernurr appllx,adapt the araromenl by marking rho bar andsrate the approp fare doc++mear n�rnrber(s}� <br /> ❑one or more of the merging entities is a registrant of a tradernark 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 /> (Iffhefollowint ttarmomf Applies.Adopt the x4temenr by marlkw de bax and include an attachment.) <br /> There are more than three trademarks and the document number of each additional trademark is <br /> stated in an attachment. <br /> 5. (lfapphcabie,adapt thbfallowingrfarerrreut by marstbtg the bataad btclrrdea++aaachntatr.) <br /> ❑This document contains additional information as provided by law, <br /> 7.(Quirlon: Leave b! if the document does not have a delayed effective date. Stating a delayed effective date hat sign feto+t <br /> regal eonregue+rces. Read inthwellons before entering a date.) <br /> (f Jthe foilowingsrafemenr Appiiet,adopt the statemarl by emetics a date aut(japltlicable,ring ruing the required fornwt) <br /> The delayed effective date and,if applicable,time of this document are <br /> (autddwlyyyy hour:minute amepat) <br /> MCRG DOM Prgc 3 Of4 Rev.S120/2OO7 <br />