Form 104 - Statement Of Cancellation Of Reacquired Shares - 2005 Page 3
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35. As required by Section 7-1.2-601(e) of the General Laws, the corporation has paid all fees and franchise taxes.
6. This Statement of Cancellation of Reacquired Shares was duly adopted by the Board of Directors of the corporation
on
7. The Statement of Cancellation of Reacquired Shares shall become effective upon the filing of this statement unless
th
a specified date is provided which shall be no later than the 90
day after the date of this filing
Under penalty of perjury, I declare and affirm that I have
examined this Statement of Cancellation of Reacquired Shares,
including
any
accompanying
attachments,
and
that
all
statements contained herein are true and correct.
Date:
Signature of Authorized Officer of the Corporation
Type or Print Name of Authorized Officer
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