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<br /> <br />This perjury notice applies to each individual who causes this document to be delivered to the Secretary of <br />State, whether or not such individual is identified in this document as one who has caused it to be delivered. <br />6. The true name and mailing address of the individual causing this document to be delivered for filing are <br />MOORES LEON <br />32905 I WAY 141 (First) (Middle) (suffix) <br />(Street number and name or Post Office Box information) <br />GATEWAY <br />(City) <br />_ CO 81522 <br />Unffe??States ("p"octal Code) <br />(Province - if applicable) (Country - if not US) <br />(lfapplicable, adopt the following statement by marling the box and include an attachment.) <br />? This document contains the true name and mailing address of one or more additional individuals <br />causing the document to be delivered for filing. <br />Disclaimer: <br />This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice, <br />and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy <br />minimum legal requirements as of its revision date, compliance with applicable law, as the same may be <br />amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should <br />be addressed to the user's legal, business or tax advisor(s). <br />CORRECT _TDNM_NAME Page 2 of2 Rev. 01/01/2008