INITIALLIST OF MANAGERSOR MANAGINGMEMBERSAND REGISTERED AGENTAND STATEBUSINESSLICENSEAPPLICATIONOF: FILE NUI\{BER SAMPLE FILING FOR LLC N A MEO F L I M I T E D - L I A B I L I T CYOM PANY pERroD FoRrHEFTLTNG 412025 41202:6 oF ro **YOU MAY FILE THIS FORM ONLINE AT www.nvsos.gov** FORM SAMPLE DONOTFILE The entity'sduly appointedregisteredagent in the Stateof Nevadauponwhom processcan be servedis: CHQ Incorporated 2235 E. FlamingoRd, Ste 201 G Las Vegas,Nevada89119 gOV A F O RMT O C H A N G ER E G IST ERED AGENTINF ORM AT ION IS F OU N DA T: w vvw .nV S OS lf you are claimingan exemptionto the StateBusinessLicense,check the box under#1, andenterthe proper"code" under#2. Completeone (or more as required) namefieldsunder #3. Checkeither a "Manager"or "Member" box under #4. Signthe form at #5. Do not sign anywhereelse. f ilino l N l T l A LL I S TF I L I NGF EE:$ 1 2 5 .0 0 clrpllt L AT EPENAL T Y:$ 75.00 ?, Y onlyif applicable Ll Pursuant to NRS,thisentityis exemptfromthebusiness licensefee. LJ Mont[f,nCF?r yourStateBusiness Licenseexpires: i G' V Exemptioncode: )Or z't @v (DOCUMENTWILL BE REJECTEDIF TITLE NOT INDICATED) NA ME n ADDRE S S rvrnruncEn ! C ITY P. O. Box 70477 MANAGING MEMBER S TA TE ZIP COD E NV Las Veqas 89170 (DOCUMENT WILL BE REJECTEDIF TITLENOTINDICATED) N A ME II A DDRE S S MANAGER I CITY P. O. Bax 70477 I MANAGINGMEMBER STATE ZIP CODE NV- :, Las Vegas N A ME tgtZ O (D OC U ME N T WILL B E R E JE C TE DIF TITLEN OT IN D IC A TE D ) n A DDRE S S r'rnNncen ! CITY P. O. Box 70477 MANAGTNG MEMBER STATE NV Las Vepas N A ME ZIP CODE 89.t70 (D OC U ME N T WILL B E R E JE C TE DIF TITLEN OT IN D IC A TE D ) n A DDRE S S ,P. Section7(2) ExemptionCodes 001- Governmental Entity Entity 002- 501(c)Nonprofit Business 003- Home-based 005- MotionPicture Company O. Box 70477 rrrrnr.rncen C ITY ! MEMBER MANAGTNG STATE Las Vesas NV ZIP CODE 89170 I'declare,tothe bestof my knowledge under penalty of perjury, thatthe above mentioned entity has complied with the provisions of sections 6 to 18 of AB 146 of the 2009 session of the Nevada Legislatureand acknowledgethat pursuant to NRS 239.330,it is a category C felony to knowingly offer any false or forged instrument for filing in the Office of the Secretarybf State. xov Signatureof Manageror ManagingMember Date NevadaSecretaryof State InitialList ManorMem Revised:8-28-09