Articles Of Amendment-Dissolution (Domestic LLC) {101}

Articles of Amendment/Dissolution - Limited Liability CompanySecretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - sos.oregon.gov/business - Phone: (503) 986-2200 In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record.We must release this information to all parties upon request and it will be posted on our website.For office use only REGISTRY NUMBER:Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary.1. ENTITY NAME:2.THE FOLLOWING AMENDMENT(S) TO THE ARTICLES OF ORGANIZATION IS MADE HEREBY: (State the article number(s) and set forth the3.PLEASE CHECK THE APPROPRIATE STATEMENT: 8.EXECUTION: I declare, under penalty of perjury, that this document does not fraudulently conceal, fraudulently obscure, fraudulently alter orotherwise misrepresent the identity of the person or any members, managers, employees or agents of the limited liability company. This filing has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete. Making false statements in this document is against the law and may be penalized by fines, imprisonment or both. Signature: Printed Name: Title: CONTACT NAME: (To resolve questions with this filing) PHONE NUMBER: (Include area code)FEESRequired Processing Fee $100 Processing Fees are nonrefundable. Please make check payable to "Corporation Division".Free copies are available at sos.oregon.gov/business using the Business Name Search program. Articles of Amendment/Dissolution - Limited Liability Company (11/17)6. ARTICLES OF AMENDMENT ARTICLES OF DISSOLUTION(Complete only 1, 2, 3, 4, 5, 8)(Complete 6,7, 8) article(s) as it is amended to read.) This amendment was adopted by the manager(s) without member action. Member action was not required. This amendment(s) was approved by the members. Date of adoption of each amendment: Date of adoption of each amendment:ARTICLES OF AMENDMENT ONLYARTICLES OF DISSOLUTION ONLY NAME OF LIMITED LIABILITY COMPANY:7. DATE DISSOLUTION OCCURRED: percent of the members approved the amendment(s).Future date not allowed.5.INDIVIDUAL WITH DIRECT KNOWLEDGE (Name and Address) 4.PRINCIPAL PLACE OF BUSINESS (Physical Street Address) List the name and address of at least one individual who is a member or manager of the LLC or an authorized representative with direct knowledge of the operations and business activities of the LLC. American LegalNet, Inc. www.FormsWorkFlow.com