Statement Of Consolidation Form - Colorado Secretary Of State Page 4

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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.
CONSOLID
Page 4 of 4
Rev. 6/15/2005

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