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ABOVE SPACE FOR OFFICE USE ONLY
Statement of Consolidation
filed pursuant to §7-90-301, et seq. and
§7-56-605
Colorado Revised Statutes (C.R.S.)
1. Entity name or true name of
consolidating entity:
______________________________________________________
(Enter name exactly as it appears in the records of the secretary of state if applicable)
ID number
:
_____________________
(if applicable)
Principal office street address:
______________________________________________________
(Street name and number)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
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)
Entity name or true name:
______________________________________________________
(Enter name exactly as it appears in the records of the secretary of state if applicable)
ID number
:
_____________________
(if applicable)
Principal office street address:
______________________________________________________
(Street name and number)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
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)
CONSOLID
Page 1 of 3
Rev. 6/16/2005