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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 <br />SUBMIT SIGNED FORM WITH FILING FEE <br />08/01/1998 <br />4fAILING DATE <br />INFORMATION BELOW IS ON FILE IN THIS OFFICE - DO NOT CHANGE PRE-PRINTED INFORMATION <br />~~7 <br />THIS FORM MUST BE TYPED <br />CORPORATE NAME REGISTERED AGENT. REGISTERED OFFICE. CITY. STATE fl ZIP FOR OFFICE USE ONLY <br />19871245804 DPC STATH/COVNPRY OF INC CO <br />PARACHINI, ROY A <br />DORM RHADY MIX CORP. <br />19671 COVN'PY RD R-7/10 <br />FT MORGAN CO 80701 <br /> FIRST REPORT OR CORRECTIONS IN THIS COLUMN ~~ <br />Return completed reports to: rvPE NEw AGENT NAME <br />Department of State SIGNATURE OF NEW REGISTERED AGENT <br />R <br />S <br />i <br />Corporate <br />eport <br />ect <br />on MUST HAVE A STREET ADDRESS <br />1560 Broadway, Suite 200 ' <br />Denver <br />CO 80202 arv STATE zIP <br />, <br />OFFICERS NAME AND ADDRESS TITLE <br />DOtPLZNG DOVGLAS PR <br />19671 COVNTY RD R 7/10 <br />FORT MORGAN CO 80701 r <br /> <br /> <br />DOSPLING RHONDA VS <br />19671 COi1N'PY RD R 7/10 <br /> <br />FORT MORGAN CO 80701 <br />PARACHINI ROY TR <br />19671 COIINTY RD R 7/10 <br /> i <br />FORT MORGAN CO 80701 _.~ <br />DIRECTORS OR LIMITED LIABILITY COMPANY MANAGERS (II you nave less than 3 snarenpltlers. you may list less Inan ] tlnenorsi ~ - i <br />PARACHZNI ROY <br />19671 COIINTY RD R 7/10 i <br />I <br />FORT MORGAN CO 80701 <br />PARACHINI DORIS _».___.....„i <br />19671 CODNTY RD R 7/10 <br />FORT MORGAN CO 80701 <br />r <br />i <br />_ __ _ <br />4tltl/ess of Pr.ncipal PaCB 01 BVSipe5f5ny' +~ ^ <br />S:reel ~ ^"' ~~ <br />C.ly BIdrB Zip <br />SIGNATURE <br />Under penalties of perjury and as an author ed officer, I declare that this biennial report and, it applicable, the statement of change of registered <br />office and/or agent, s been xamined a and is, to the best of my knowledge and belief, true, correct, and complete. <br />BY <br />Aulnar ^ Apenl <br />TITLE /LSO, DATE ~ L ~ 19r1Q <br />NOTE: DO NOT USE THIS BOX 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 ABOV E(UPPER LEFT <br />HAND CORNER). IF YOU ARE FILING AFTER THE DATE DUE ABOVE, CONTACT THIS OFFICE FOR THE PROPER FEE. (303) 894-2251 <br />SEE INSTRUCTIONS ON BACK -,even+:e . <br />