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Street address <br />Mailing address <br />(leave blank if same as street address) <br />324 3rd St <br />Ault <br />(city) <br />(Street number and name) <br />CO 80610 <br />(State) (ZIP Code) <br />(Street number and name or Post twee Box information) <br />(City) <br />CO <br />(State) (ZIP Code) <br />(The following statement is adopted by marking the box.) <br />Q The person appointed as registered agent above has consented to being so appointed. <br />5. The date the entity commenced or expects to commence transacting business or conducting activities in <br />Colorado is 05/01/2013 <br />( mm/dd/yyyv) <br />f). (If applicable, adopt the following statement by marking the box and include an attachment.) <br />❑ This document contains additional information as provided by law. <br />7. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has <br />significant legal consequences. Read instructions before entering a date.) <br />(Ifthe following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.) <br />The delayed effective date and, if applicable, time of this document is /are <br />(mm/dd/yyyy hounminute am/pm) <br />Notice: <br />Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or <br />acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the <br />individual's act and deed, or that the individual in good faith believes the document is the act and deed of the <br />person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity <br />with the requirements of part 3 of article 90 of title 7, CRS., the constituent documents, and the organic <br />statutes, and that the individual in good faith believes the facts stated in the document are true and the <br />document complies with the requirements of that Part, the constituent documents, and the organic statutes. <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 named in the document as one who has caused it to be delivered. <br />8. The true name and mailing address of the individual causing the document to be delivered for filing are <br />Lonny Graves <br />(Last) (First) (Middle) (Suffix) <br />PO Box 609 <br />(Street number and name or Post twee Box information) <br />Pine Bluffs WY 82082 <br />(City) (State) (ZIP /Postal Code) <br />United States. <br />(Province — if applicable) (Country) <br />(If the following statement app lies, adopt the statement by marking 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 />AUTHORITY Page 2 of 3 Rev. 12/01/2011 <br />