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Your document will be available to the public.
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* Required field.
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Such non-reporting entity is a general partnership
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If such non-reporting entity is a general partnership, provide the name of one general partner; otherwise, provide the true name of the non-reporting entity.
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If an individual:
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If an entity:
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*
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*
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The principal address of such person and, if different, the mailing address of such person are
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*
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*
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*
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*
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The trade name under which such entity transacts business or contemplates transacting business is
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A brief description of the kind of business transacted or contemplated to be transacted in this state under such trade name is
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*
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Delayed Effective Date
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Attach Additional Information
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Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute
the affirmation or acknowledgment of each individual causing such delivery, under penalties
of perjury, that the document is the individual's act and deed, or that the individual in good
faith believes the document is the act and deed of the person on whose behalf the individual is
causing the document to be delivered for filing, taken in conformity with the requirements of
part 3 of article 90 of title 7, C.R.S., and, if applicable, the constituent documents, and the organic statutes,
and that the individual in good faith believes the facts stated in the document are true and the
document complies with the requirements of that Part, the constituent documents, and the organic
statutes.
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This perjury notice applies to each individual who causes this document to
be delivered to the secretary of state, whether or not such individual is named
in the document as one who has caused it to be delivered.
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The true name and mailing address of the individual causing this document to be delivered for filing are
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*
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*
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*
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*
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Disclaimer:
This form/cover sheet, and any related instructions, are not intended to
provide legal, business or tax advice, and are furnished without representation or warranty.
While this form/cover sheet 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/cover sheet. Questions should be addressed
to the user's legal, business or tax advisor(s).
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