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Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442 - 44 32 Corporate Online Services Information: Many corporate filings are available by using CorpOnline Service. Go to CorpOnline site at https://corp online .dcra.dc.gov , create the profile, access the online services main page and proceed. Online filers must pay by using the credit card. District of Columbia Government Corporations Division Withdrawal of Filed Record B efore E ffectiveness Form G N - 1 , Ver. 2 , April 201 8 . Use this form to withdraw the filed record before effectiveness. If filed record has taken effect then this form may not be used. Some filings may not be withdrawn as those filings are effective upon filing. ENTITY TYPE FILING F E E Domestic & Foreign Filing Entity Refer to Corporate Fee Schedule posted online; Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the domestic and foreign filing entity listed below hereby applies for a Certificate of Withdrawal of the Filed Record and for that purpose submits the statement below. 1.1. Entity Name. 2.Identify the filed record to be withdrawn. 2A. Date of its filing. 2B. Identify the parties to the filed record. 3.If not filed by all parties, the filed record has been withdrawn in accordance with the agreement of the parties. 4.Except as otherwise agreed by the parties, this form is to be signed on behalf of each party that signed the filed record being withdrawn as indicated below. If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC 247 22 - 2405; 5 . Name of the Governor or Authorized Person who signed the filed record. 5A . Si gnature of the Governor or Authorized Person . 6 .Name of the Governor or Authorized Person who signed the filed record. 6A . Signature of the Governor or Authorized Person. American LegalNet, Inc. www.FormsWorkFlow.com