Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual’s act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the Secretary of State, whether or not such individual is named in the document as one who has caused it to be delivered.
9. The true name and mailing address of the individual causing the document to be delivered for filing are
| | | | | | | | |
| | Fishman | | Marshall | | H. | | |
| | (Last) | | (First) | | (Middle) | | (Suffix) |
| | | | | | | | |
| |
| | 633 17th Street |
| | |
| | (Street number and name or Post Office Box information) | | |
| |
| | Suite 2700 |
| | |
| | | | |
| | Denver | | CO | | 80202 | | |
| | (City) | | (State) | | (ZIP/Postal Code) |
| | | |
| | | | United States . | | |
| | (Province – if applicable) | | (Country) | | |
(If the following statement applies, adopt the statement by marking the box and include an attachment.)
| ☐ | This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. |
Disclaimer:
This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice, and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should be addressed to the user’s legal, business or tax advisor(s).
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ARTORG_LLC | | Page 3 of 3 | | | Rev. 02/28/2008 | |