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

Form to Accompany Filing Ordered by Reorganization Under Federal Law
(PURSUANT TO NRS 78.622)
USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY

Form to Accompany Filing Ordered by Reorganization Under Federal Law (Pursuant to NRS 78.622)
1. Name of corporation:

2. In compliance with court order, the following
Filing Type

is being filed.*

3. Effect of filing upon articles: (check only one box) The certificate being filed does not amend the Articles of Incorporation. The articles are being amended as follows: (provide article numbers, if available)

4. Signature required: (check one box only) The trustee in bankruptcy appointed by the court Officers of the corporation designated by the court Any other representative appointed by the court The undersigned has signed this instrument under penalty of perjury:

X
Authorized Signature Title

* This filing must be accompanied by a conformed plan or order of reorganization certified by the bankruptcy court.
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.
Nevada Secretary of State Bankruptcy Revised: 3-6-09

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