Amendment to Annual Report - Limited Liability Company Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - http://www.FilingInOregon.com - Phone: (503) 986-2200 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. 1) NAME OF ENTITY: 2) PRINCIPAL PLACE OF BUSINESS: (Street Address) 3) 4) THE REGISTERED AGENT HAS BEEN CHANGED TO: 5) THE NEW REGISTERED AGENT HAS CONSENTED TO THIS APPOINTMENT. 6) ADDRESS OF THE NEW REGISTERED OFFICE: (Must be an Oregon 7) THE STREET ADDRESS OF THE NEW REGISTERED OFFICE AND THE Street Address ADDRESS FOR MAILING NOTICES: BUSINESS ADDRESS OF THE REGISTERED AGENT ARE IDENTICAL. 8) NOTIFICATION: The entity has been notified in writing of this change. LIST MEMBERS AND/OR MANAGERS NAMES AND ADDRESSES 9) MEMBERS: (Name and street address) 10) MANAGERS: (Name and street address) 11) EXECUTION: (Must be signed by at least one member or manager.) By my signature, I declare as an authorized authority, that this filing has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete. Making false statements in this document is against the law and may be penalized by fines, imprisonment or both. Signature: Printed Name: Title: Date: CONTACT NAME: (To resolve questions with this filing.) FEES No Processing Fee PHONE NUMBER: (Include area code.) 120 - Amendment to Annual Report - Limited Liability Company (07/10) Confirmation Copy (Optional) $5 American LegalNet, Inc. www.FormsWorkFlow.com