Phone: (503) 986-2200 Fax: (503) 378-4381 Amendment to Annual Report—Limited Liability Company Secretary of State Corporation Division 255 Capitol St. NE, Suite 151 Salem, OR 97310-1327 FilingInOregon.com REGISTRY NUMBER: ENTITY TYPE DOMESTIC FOREIGN In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record. We must release this information to all parties upon request and it will be posted on our website. For office use only Please Type or Print Legibly in Black Ink. To change the Registered Agent, use Change of Registered Agent/Address, Form 131 1) NAME OF ENTITY 2) PRINCIPAL PLACE OF BUSINESS (Street Address) 3) ADDRESS FOR MAILING NOTICES LIST MEMBERS AND/OR MANAGERS NAMES AND ADDRESSES 4) MEMBERS (Name and street address) 5) MANAGERS (Name and street address) 6) EXECUTION Signature: Printed Name: Title: Date: 7) CONTACT NAME (To resolve questions with this filing.) DAYTIME PHONE NUMBER (Include area code.) FEES No Processing Fee 154 (Rev. 7/04) American LegalNet, Inc. www.USCourtForms.com