STATE FILED BUSINESS - Amarillo, TX

1 STATE FILED BUSINESS . ASSUMED NAME CERTIFICATE OF OWNERSHIP. NOTICE: CERTIFICATES OF OWNERSHIP ARE VALID ONLY FOR A PERIOD NOT TO EXCEED 10 YEARS FROM. THE DATE FILED IN THE COUNTY CLERK'S OFFICE (Chapter 36, Sect. 1, Title 4 - BUSINESS and Commerce Code). NUMBER OF YEARS THIS BUSINESS NAME WILL BE USED (Not to exceed 10 years) _____ YEARS. NAME IN WHICH BUSINESS . IS OR WILL BE CONDUCTED: _____. BUSINESS ADDRESS: _____. CITY _____ STATE _____ ZIP _____. BUSINESS IS A (check one): CORPORATION LIMITED LIABILITY COMPANY OTHER_____. LEGAL NAME OF BUSINESS . AS FILED IN STATE DOCUMENTATION: _____. STATE , COUNTY OR JURISDICTION UNDER THE LAWS OF WHICH IT WAS CHARTERED IS: _____. ADDRESS OF ITS REGISTERED OFFICE IN THAT JURISDICTION IS: _____. CITY _____ STATE _____ ZIP _____. THE NAME OF ITS REGISTERED AGENT AT THAT ADDRESS IS: _____. BY _____ TITLE _____.

2 SIGNATURE OF OFFICER OR REPRESENTATIVE. NOTARY USE ONLY. STATE OF TEXAS COUNTY OF _____. BEFORE ME, THE UNDERSIGNED AUTHORITY, ON THIS DAY PERSONALLY APPEARED. _____, _____, KN O WN TO M E T O BE TH E P E R S O N ( S ) W H O S E N A M E ( S ) I S / A R E S U B S C R I B E D T O T H E F O R E G O I N G I N S T R U ME N T A N D A C K N O WL E D G ED T O M E. THAT HE/SHE/THEY SIGNED THE SAME FOR THE PURPOSE AND CONSIDERATION THEREIN EXPRESSED. GIVEN UNDER MY HAND AND SEAL OF OFFICE, this _____ day of _____ , 20_____. _____. SIGNATURE OF NOTARY.