HomeMy WebLinkAboutCSS Info. 11.25.2014Document must be filed electronically
Paper documents are not accepted.
Fees & forms are subject to change.
For more information or to print copies
of filed documents, visit www.sos.state co us
-Fred
Colorado Secretary of State
Date and Time: 11/25/2014 12.10 PM
ID Number: 19951158274
Document number: 20141718371
Amount Paid: $10.00
ABOVL SPACE FOHOFHCI IISL ONLY
Periodic Report
filed pursuant to §7-90-301. et seq and §7-90-501 of the Colorado Revised Statutes (C R S)
ID number -
Entity name:
Jurisdiction under the law of which the
entity was formed or registered Colorado
19951158274
RICHARD AND MARY JOLLEY FAMILY LLLP
1. Principal office street address. 832 Canyon Creek Dr.
2 Principal office mailing address
Of different from above)
(Street nacre and number)
Glenwood Springs
CO 81601
(C rte)State) (Postal/Zip Code)
United States
(Province - ifapphcable) (Cowitr). if not US)
832 Canyon Creek Dr.
(Street nante and number or Post Office Box information)
Glenwood Springs
CO 81601
(City)
State) (Postal/Zip Code)
United States
(Province fappltcablc) (Country — ilium' US)
3 Registered agent name- (if an individual) JOLLEY KENT
or (ifa business organization)
S.
(Last) (First)
(:diddle) (Suffix)
4. The person identified above as registered agent has consented to being so appointed.
5. Registered agent street address:
6. Registered agent mailing address:
(Lf different from above)
832 Canyon Creek Dr.
(Street name and number)
Glenwood Springs
(Cin)
832 Canyon Creek Dr.
CO 81601
(State)
(Postal/Zip Code)
(Street name and number or Post Office fax it formation)
Glenwood Springs
CO 81601
(Cin)
(Province- fapplicable)
Stae)
United States
(Country — if not US)
(Postal/Zip Code)
REPORT Page 1 oft Rev 1210112012
Notice:
Causing this document to be delivered to the secretary of state for tiling 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., 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.
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.
7 Name(s) and address(es) of the
individual(s) causing the document
to be delivered for filing Jolley Anne E
(bast) (First) (11tddke) (Steri)
832 Canyon Creek Drive
(Street name and number or Post dice fax information)
Glenwood Springs
(Cin)
CO 81601
Sta e)States (Postal lap C.•)dc)
United
(Province — if applicable) (Cowin,. — if tar US)
(The document need not state the true name and address ofntare than ane individual lion ever, if you n ish to stare the name and address
of ani• additional individuals causing the document to he delivered for filing, nark this bar ❑ and include an auachnrenl staring the
name and address of such indivrduuls.,
Disclaimer
This form, and any related instructions, are not intended to provide legal, business or tax advice, and are
offered as a public service without representation or warranty. While this form 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. Questions should be addressed to the user's
attorney.
REPORT Page 2 of 2 Rev 12101/2012