2013-04-01_PERMIT FILE - M2013018 ‎(2)‎

• Permit No: M2013018
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/1/2013
• Doc Name: 110c Appl.
• From: Pine Bluffs Gravel & Excavating, Inc
• To: DRMS
• Media Type: D
• Archive: No

Document must be filed electronically.
Paper documents are not accepted.
Fees & forms are subject to change.
For more information or to print copies
of filed documents, visit www.sos.state.co
Street address
Mailing address
(leave blank if same as street address)
or
(if an entity)
- Fired
1. The entity ID number, the entity name, and the true name, if different, are
3. The principal office address of the entity's principal office is
215 Main St
Suite A
Pine Bluffs
(C:t )
Pine Bluffs
(City)
(Caution: Do not provide both an individual and an entity name.)
(Last) (First)
TRK Enterprises, LLC
Colorado Secretary of State
Date and Time: 03/27/2013 11:08 AM
ID Number: 20131198158
Document number: 20131198158
Amount Paid: $100.00
Statement of Foreign Entity Authority
filed pursuant to § 7 -90 -803 of the Colorado Revised Statutes (C.R.S.)
Entity ID number 20131198158
(Colorado Secretary of State ID number)
Entity name Pine Bluffs Gravel & Excavating, Inc.
True name
(if different from the entity name)
2. The form of entity and the jurisdiction under the law of which the entity is formed are
Form of entity Foreign Corporation
Jurisdiction Wyoming
(Street number and name)
WY 82082
(State) (ZIP /Postal Code)
United States
(Province — if applicable) (Country)
PO Box 609
(Street number and name or Post Office Box information)
WY 82082
ABOVE SPACE FOR OFFICE USE ONLY
(State) (ZIP /Postal Code)
United States.
(Province — f applicable) (Country)
4. The registered agent name and registered agent address of the entity's registered agent are
Name
(if an individual)
(Middle) (Suffix)
AUTHORITY Page 1 of 3 Rev. 12/01/2011