Laserfiche WebLink
988601 08/14/2023 01:21:56 PM Page 1 of 4 <br /> Jacklyn K. Harmon, Garfield County, Colorado RECEIVE® <br /> Rec Fee: $28.00 Doc Fee: $0.00 eRecorded <br /> DEC 0 4 2 K4 20231203719 <br /> DIVISION OF RECLAM!4150.40. - <br /> MINING AND SAF,T RETAEU AT 'ISTATE <br /> Document processing fee Q71?1 f 2't1:3 14:59:c5 <br /> If docun*Wt_is•filed on paper S 150.00 <br /> If& parent is filed electronically Currently Not Available <br /> Fese &fottns/covei sheets are <br /> subject to change. <br /> To file electronically,access instructions <br /> for this form/aover'sheef and other <br /> information or prinf copies of filed <br /> documents,visit www.coloradosos.gov <br /> and select Business. <br /> Paper documents must be typewritten or machine printed. ABOVE SP.tce FOR oMce use ONLY <br /> Statement of Merger <br /> (Surviving Entity is a Domestic Entity) <br /> filed pursuant to§7-90-203.7 of the Colorado Revised Statutes(C.R.S.) <br /> 1. For each me_ gr r _ entity,its ID number(if applicable),entity name or true namejorm of entity,jurisdiction <br /> under the law of which it is liormed,and principal address are <br /> ID Number 20211499713 <br /> (Calorado Secretary of State ID number) <br /> Entity one or true name Caerus Cross Timbers LLC <br /> Form of entity Limited Liability Company <br /> Jurisdiction Colorado <br /> Street address 1001 17ttt Shvet <br /> Suite 1600 (Streeinumberandname) <br /> Denver CO 80202 <br /> (State) rZ1P/Postaf Code) <br /> (Province-#'60ficable) (Country) <br /> Mailine address <br /> (leave blank if same as street address) (Street number and name or Post OJflce A=tn)brw t/ott) <br /> (City) (5mte) (ZIP/P*Ud Code) <br /> (Province-ifapplieable) - (Camtry) <br /> ID Number <br /> (Colorado Secretary of Stole ID'number) <br /> Entity name or true name <br /> Form of entity <br /> Jurisdiction <br /> MERGE_DOM Page 1 ON Rev.V29120t17 <br />