Statement Of Election To Accept The Colorado Revised Nonprofit Corporation Act

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STATEMENT OF ELECTION TO ACCEPT THE COLORADO

REVISED NONPROFIT CORPORATION ACT

Form 320 NOT VALID AFTER JUNE 30, 2004

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Filing fee: $25.00

Deliver to: Colorado Secretary of State

Business Division, 1560 Broadway, Suite 200

Denver, CO 80202-5169

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This document must be typed or machine printed

Copies of filed documents may be obtained at

A B O V E S P A C E F O R O F F I C E U S E O N L Y

Pursuant to § 7-137-202 and part 3 of article 90 of title 7, Colorado Revised Statutes (C.R.S.), on behalf

of the corporation organized prior to January 1, 1968, this statement of election to accept the Colorado

Revised Nonprofit Corporation Act (§§ 7-121 to 7-137 C.R.S.) is delivered to the Colorado Secretary of

State for filing.

1. The name of the corporation is:

2. The (check one) □ members or □ stockholders or □ directors, a quorum being present, voted to accept the

Colorado Revised Nonprofit Corporation Act. (The acceptance was authorized by at least 2/3 of the votes of the

members or stockholders, or by a majority vote of the directors, which were present at such meeting.)

The street address of the registered office of the corporate entity is:

The name of the registered agent at such address is:

The names and addresses of the entity’s officers and directors:

Name

Address

All required reports have been or will be filed and all fees, taxes, and penalties due to the state of Colorado

accruing under any law to which the corporate entity heretofore has been subject have been paid.

The corporate entity has followed the requirements of the law under which it was organized, its articles of

incorporation, and its bylaws so far as applicable in effecting such acceptance.

□ The attached copy of the articles of incorporation, affidavit, or other basic corporate charter of the

corporate entity is true and correct or if document(s) are on file with the Secretary of State of Colorado.

The corporate entity was formed with □ without □ authorized capital stock. If formed with authorized

capital stock, the number of shares authorized is

and the number of shares issued and

outstanding is

All issued and outstanding shares of stock have been delivered to the corporate entity to be canceled.

10.

The authority of the corporate entity to issue shares of stock is hereby terminated.

11.

The (a) name or names, and (b) mailing address or addresses, of any one or more of the individuals who cause

this document to be delivered for filing, and to whom the Secretary of State may deliver notice if filing of this

document is refused, are:

§ 7-90-301 (8), C.R.S

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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.