← Hurd, Jeff

Statement Curing Delinquency — Po Slovensky Holdings, LLC, ID 20081128042 (2010)

Open / download PDF

Document text

Page 1
CURE_DLQ Page 1 of 3 Rev. 5/01/2010 Document must be filed electronically. Paper documents will not be accepted. Document processing fee $100.00 Fees & forms/cover sheets are subject to change. To access other information or print copies of filed documents, visit www.sos.state.co.us Statement Curing Delinquency and select Business. ABOVE SPACE FOR OFFICE USE ONLY filed pursuant to §7-90-904 of the Colorado Revised Statutes (C.R.S) 1. For the delinquent entity, its ID number, entity name and jurisdiction of formation are ID number _________________________ (Colorado Secretary of State ID number) Entity name ______________________________________________________ Jurisdiction where formed ______________________________________________________. 2. By providing the information required herein, this statement corrects all grounds for delinquency cited by the secretary of state. 3. The registered agent name and registered agent address of the registered agent are Name (if an individual) ____________________ ______________ ______________ _____ (Last) (First) (Middle) (Suffix) OR (if an entity) ______________________________________________________ (Caution: Do not provide both an individual and an entity name). The person appointed as registered agent above has consented to being so appointed. Street address ______________________________________________________ (Street number and name) ______________________________________________________ __________________________ CO ____________________ (City) (State) (Zip Code) Mailing address ______________________________________________________ (leave blank if same as street address) (Street number and name or Post Office Box information) ______________________________________________________ __________________________ CO ____________________. (City) (State) (Zip Code) (If the following statement applies, adopt the statement by marking the box.) The mailing address in the records of the Secretary of State is no longer different than the street address and is no longer required. Colorado Suite 310 John Snow 20081128042 80202 Denver 1601 Blake St. Po Slovensky Holdings, LLC Thomas Colorado Secretary of State Date and Time: 11/21/2010 08:43 PM ID Number: 20081128042 Document number: 20101636545 Amount Paid: $100.00
Page 2
CURE_DLQ Page 2 of 3 Rev. 5/01/2010 4. The principal office address of the entity’s principal office is Street address ______________________________________________________ (Street number and name) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) (Country – if not US) Mailing address ______________________________________________________ (leave blank if same as street address) (Street number and name or Post Office Box information) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________. (Province – if applicable) (Country – if not US) (If the following statement applies, adopt the statement by marking the box.) The mailing address in the records of the Secretary of State is no longer different than the street address and is no longer required. 5. (If the following statement applies, adopt the statement by marking the box and include an attachment.) This document contains additional information as provided by law. 6. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal consequences. Read instructions before entering a date.) (If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.) The delayed effective date and, if applicable, time of this document is/are __________________________. (mm/dd/yyyy hour:minute am/pm) 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. The true name and mailing address of the individual causing the document to be delivered for filing are ____________________ ______________ ______________ _____ (Last) (First) (Middle) (Suffix) ______________________________________________________ (Street number and name or Post Office Box information) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________. (Province – if applicable) (Country – if not US) 228 W. 71st Street Denver 10023 New York 80202 United States NY United States Hurd Suite 310 New York Barbora Apt. 9 H CO 1601 Blake St.
Page 3
CURE_DLQ Page 3 of 3 Rev. 5/01/2010 (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).