Statement Of Partnership Authority - Colorado Secretary Of State Page 2

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Mailing address of one office in
Colorado:
______________________________________________________
(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)
4. True names or a description of the
partner(s) as to which this document
relates and the authority or limitations
on authority of the partner(s) identified: ______________________________________________________
______________________________________________________
______________________________________________________
(If additional space is needed, mark this box
and include an attachment stating the true names or descriptions of the
partners and the authority or limitations on authority of the partners.)
5. Additional information may be included pursuant to other organic statutes such as title 12, C.R.S. If
applicable, mark this box
and include an attachment stating the additional information.
6. (Optional) Delayed effective date:
______________________
(mm/dd/yyyy)
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.)
PART_AUTH
Page 2 of 3
Rev. 6/16/2005

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