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' STATE OF COLORADO <br />FEES 25.00 • BIENNIAL REPORT OF <br />ON OR BEFORE A CORPORATION OR LIMITED LIABILITY COMPANY <br />DATE DUE 10/31/1998 <br />1998 READ INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING <br />REPORT YEAR SUBMIT SIGNED FORM WITH FILING FEE <br />08/01/1998 <br />AIAILING DATE <br />INFORIAATInN RFI f1W LC fTN FII F IN THIS nFFICF ~ ^O NETT ('.RANGE PRE-PRINTF^ INFORMATIrTN <br />0~7 <br />THIS FORM MUST BE TYPED <br />CORPORATE NAME REGISTERED AGENT. REGISTERED OFFICE. CITY. STATE 8 ZIP <br />19871295743 DPC STAT&/CODN'PRY OF INC CO <br />PARACHIN2, ROY A <br />SILL R. BARBR CEMBNT CONTRACTOR, INC <br />19671 CODNTY RD R-7/10 <br />FT MORGAN CO 80701 FOR OFFICE USE ONLY <br /> <br /> <br /> <br /> <br /> <br />IRST REPORT OR CORRECTIONS IN THIS COLUMN <br /> <br />Return completed reports to: TYPE NEW AGENT NAME <br />Department of State SIGNATURE OF NEW REGISTERED AGENT <br />Corporate Report Section <br />1560 Broadway, Suite 200 MUST HAVE ASTREET ADDRESS <br />Denver, CO 80202 cm sTATE nP <br />co _ __ _I <br />e <br />OFFICERS NAME AND ADDRESS <br />DOPILING DOIIGLA9 TITLE <br />PR ~ <br />19671 COANTY ROAD R 7/10 <br />FORT MORGAN CO 80701 + <br /> <br />DOSPLING RHONDA <br />19671 COIINTY ROAD R 7/10 VS <br /> <br />FORT MORGAN CO 80701 ' <br />~ <br />PARACHINI ROY TR ~ <br />19671 COOliTY ROAD R 7/10 <br /> r <br />FORT MORGAN CO 80701 <br />DIRECTORS OR LIMITED LIABILITY COMPANY MANAGERS III you nave less than J sharenoltlers. you may h9 less Ihan J tlireclolsl ~ ~~ 1 <br />PARACHINI ROY ~ <br />19671 CODNTY ROAD R 7/10 <br />FORT MORGAN CO 80701 I <br />._._._.._,.. j <br />PARACHINI DORIS ~ f <br />19671 CODNTY ROAD R 7/10 <br />FORT MORGAN CO 80701 I <br />I <br />4tltl~es: of P~mOpal Place cl eusiness <br />:heal ~~ ~~~ - <br />Cny Stale 2i0 <br />SIGNATURE <br />Under penalties of perjury and as an a orized officer, I declare that this biennial repon and, if applicable, the statement of change of registered <br />office a or age , has b exami y me and is, to the best of my knowledge and belief, true, correct, and complete. <br />BY <br />Inonzetl Agent <br />TITLE DATE y 19 <br />NOTE: DO NOT USE THIS 80X IF THIS IS YOUR FIRST REPORT!!! SEE INSTRUCTIONS ON REVERSE. IF THERE ARE NO CHANGES SINCE <br />YOUR LAST REPORT, MARK THIS BOX, SIGN ABOVE AND RETURN WITH THE FEE AND BY THE DATE DUE INDICATED ABOVE(UPPER LEFT <br />HAND CORNER). IF YOU ARE FILING AFTER THE DATE DUE ABOVE, CONTACT THIS OFFICE FOR THE PROPER FEE. (303) 8942251 <br />SEE INSTRUCTIONS ON BACK s,atrs;e.a <br />