Annual Report — Po Slovensky Holdings, LLC, ID 20081128042 (2009)

Document processing fee If document is filed on paper $100.00 If document is filed electronically $ 10.00 Late fee if entity is in noncompliant status If document is filed on paper $ 50.00 If document is filed electronically $ 40.00 Fees & forms/cover sheets are subject to change. To file electronically, access instructions for this form/cover sheet and other information or print copies of filed documents, visit www.sos.state.co.us and select Business Center. Paper documents must be typewritten or machine printed. ABOVE SPACE FOR OFFICE USE ONLY Annual Report filed pursuant to §7-90-301, et seq. and §7-90-501 of the Colorado Revised Statutes (C.R.S) ID number: ______________ Entity name: ______________________________________________________ Jurisdiction under the law of which the entity was formed or registered: ______________________________________________________ 1. Principal office street address: ______________________________________________________ (Street name and number) ______________________________________________________ __________________________ _____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) (Country – if not US) 2. Principal office mailing address: ______________________________________________________ (if different from above) (Street name and number or Post Office Box information) ______________________________________________________ __________________________ _____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) (Country – if not US) 3. Registered agent name: (if an individual) ____________________ ______________ ______________ _____ (Last) (First) (Middle) (Suffix) OR (if a business organization) ______________________________________________________ 4. The person identified above as registered agent has consented to being so appointed. REPORT Page 1 of 2 Rev. 07/17/08 Denver Colorado 80206 Hurd Jeffrey 20081128042 United States Apt. 3 Po Slovensky Holdings, LLC Stephen CO 1410 Vine St. Colorado Secretary of State Date and Time: 05/20/2009 01:05 PM ID Number: 20081128042 Document number: 20091278062 Amount Paid: $10.00

5. Registered agent street address: ______________________________________________________ (Street name and number) ______________________________________________________ __________________________ CO ____________________ (City) (State) (Postal/Zip Code) 6. Registered agent mailing address: ______________________________________________________ (if different from above) (Street name and number or Post Office Box information) ______________________________________________________ __________________________ _____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) (Country – if not US) 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. 7. Name(s) and address(es) of the individual(s) causing the document to be delivered for filing: ____________________ ______________ ______________ _____ (Last) (First) (Middle) (Suffix) ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ ____ ______________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) (Country – if not US) (The document need not state the true name and address of more than one individual. However, if you wish to state the name and address of any additional individuals causing the document to be delivered for filing, mark this box and include an attachment stating the name and address of such individuals.) Disclaimer: This form, and any related instructions, are not intended to provide legal, business or tax advice, and are offered as a public service without representation or warranty. While this form 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. Questions should be addressed to the user’s attorney. REPORT Page 2 of 2 Rev. 07/17/08 Hurd United States CO Denver Jeffrey 80206 Apt. 3 80206 Denver 1410 Vine St. 1410 Vine Street 3