Free Form - Nevada

ROSS MILLER Secretary of State 204 North Carson Street, Suite 1 Carson City, Nevada 89701-4520 (775) 684 5708 Website: www.nvsos.gov

Certificate of Cancellation for Foreign Limited-Liability Company
(PURSUANT TO NRS 86.547)
USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY

Certificate of Cancellation for a Foreign Limited-Liability Company Registration (Pursuant to NRS 86.547) 1. Name of foreign limited-liability company:

2. Name under which this foreign limited-liability company conducts business in Nevada:

3. Effective date of the cancellation if other than the date of the filing with the Nevada Secretary of State:

4. Any other information the manager or member filing the certificate deems necessary:

5. Signature (must be signed by a manager, or if there are no managers, by a member):

X
Signature FILING FEE: $75.00
IMPORTANT: Failure to include any of the above information and submit with the proper fees may cause this filing to be rejected.
This form must be accompanied by appropriate fees.

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Nevada Secretary of State 86.547 FLLC Cancellation Revised: 3-13-09