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07-09-'21 08:39 FROM- T-330 P0004/0006 F-200 <br /> Form of entity Corporation <br /> Jurisdiction Colorado <br /> Street address 2273 River Road <br /> (Street nwnbsr and name) <br /> Grand Junction co 81515 <br /> Ply) US Ante) (Z1P/POs(al Code) <br /> (Province—ifapplicable) llcmmtry) <br /> Mailing address <br /> (leave blank if same as street address) (Street number and nome or Past Office Box it formadon) <br /> (City) (State) (ZINPostat Code) <br /> (Province—Ffapplicable) (County) <br /> 3. Each merging entity has been merged into the surviving entity. <br /> 4.(ifthefollowing statement appliet,adopt the statement by»rarking 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 of Title 7,C.R.S. <br /> 5.(!f thefallondrtg statement applies.adopt the statement by marking the box and store the appropriate docun+en!n�unbe.(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 /> (!f rhefollowingstatement 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 /> stated in an attachment. <br /> 6. (lfopplicable.adopt thefollowtng statement by marking the box and htclude aN attaclune>tr.) <br /> ❑ This document contains additional information as provided by lave. <br /> 7.(Ca idan: heave blank ifthe document does not have a delayed effeenve date. Staling a delayed effective dare has signtfieant <br /> legal consequences. Read insimctions before entering a dale.) <br /> (lf►he foflorvingslaternenl applies,adopt the siartmenl by sneering a date and,if applicable,time using the required format) <br /> The delayed effective date and,if applicable,time of this document are <br /> (nrmlddlyyyy hourminrtte ant/pm) <br /> MERGE DOM Page 3 of 4 Rev.512=007 <br />