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<br /> Form 1-76
<br /> CEltTIFICATE OF IZEVIVAL OR RENEWAL
<br /> 77• U O�H S 9 OF A DOMESTIC OR NONPROFIT CORPORATION
<br /> rTo be submitted,in duplicate,to:
<br /> Sse�etary of SLb,Suib 2300 SLte Capitol,Lineoln, Nabr:sks 68609
<br /> KNOW ALL MEN BY THESE PRESENTS:
<br /> 1. Now cornes..KOkert---K-•--.Kopfoot..---._...........President,and..---Kot�!.r.�...k_.._.�oAfQQt--------------------
<br /> Secretary and/or Treasurer,who on..._..,,,u W88
<br /> ;qsic�--d...._...-...._...-_., 19_.7Z._.._,c1r0l�duly elected as officers of
<br /> - - _.--...--...Surg�S.�1..�.$o_C�:atPs_ 9f..�=ra.�?�...Is.�#.nd.,...P..�_... ......
<br /> Corroct Corporale Name as stated in A+'ucles o!fncorporation or mos�recent Amendmenr � ������ �� -
<br /> locatedat..._.727 North C�uster :ivAnuA.� Grand IsZ �nd,_ NPhraska,. b88Q1
<br /> -- -
<br /> .-. . FuftAddressofPnncipalPlaceolBusiness " �'---�����. -....""-"....
<br /> a Nebraska corporation duly organized under and by virtue of the laws of the state of Nebraska, for the
<br /> purposes of revising or renewing said corporation.
<br /> 2. The existence of this corporation became (or wil! become)inoperative on. ,yu�u&_�..2... ..._.........._, 19__77._,
<br /> because of diseolution by the office of the Secretary of State by expiration of existence,or for nonpayment
<br /> of occupational taxes or annual fees.The revival of this corporation shall be perpetual unless sooner dissolved
<br /> by proper action of its stockholders,or by due process of law.
<br /> 3. The registered office of this corporation in Nebraska shall be.__�.��_��orth �ustAr Hvr�nup
<br /> ._ _ - --- �--- ....._....
<br /> ����Su�eat Address•
<br /> ....._Gr.at�d_I818nd-_-_..... .._..__.---?-j.�11_..__. . _ Nebraska._68�;U1-- __and the registered agent at such
<br /> CitY County .. _ � Zip Code
<br /> addressshallbe_..kobP='t k. F.oafoot_,. r.,:�. k�
<br /> .__....... _____.
<br /> Name vf Reqistered Agent
<br /> "Address sh�!!be complete, using full street address. Abox number is acceptable onfy in those cases where street addresses are
<br /> not available.
<br /> ""!f the above-named reqistered agent or reqistered office constitutes a change from the previous designation, this information
<br /> wW be ent�red onto the corporation's records in this office. No further notifiwtion or filinq of a separate form is necessary.
<br /> SIGNATURE OF A AST TWO OFFIC RS REQUIRED�
<br /> FILING FEES:
<br /> a i
<br /> ____.�. Pre�dent__ � ?�L �� �
<br /> Domectic Revival. .......512.00 1 . . � - .
<br /> ..__.�. r•�sfiiPii�, P � c.��- },�- -TrPasuYer
<br /> Nonprofit Revival......... 8.00 SecreWry.___.... ._.... -- -- - - -- ..... ...........
<br /> _---- ._..
<br /> Treasurer._.._____.._...---._.-...__..-----.----.---
<br /> ..- --......._
<br /> DOMESTIC CORPORATIONS. A state tax lien has been filed arpinst this corporation. The lien was filed with the county
<br /> oontaininq tbe pocnl addren of ths last-named reqisterod agent obtained Prom the tax records at the time this corporation
<br /> 6ecame dirwlwd for failing to meet the statutory deadline for the filinq of the annual occupation tax report.
<br /> '1]�e li�n will be reiea�ed when thu certified dxument is Yiled with the county clerk and rocpater of deeds in the county in which
<br /> the dasi¢+atwd regists�ed otfice waa located as shown by the corporate records in the office of the��rncary at'State at the time
<br /> ths lisn wu 151�d.
<br /> NONPROFIT CpqPpRAT10NS. Notice has bsen made to the appropriate county that this corporation failed to pay its
<br /> 6i�nt►ial fees. The nodce was tilsd with t�e county containinq che postal address of the last-named registered agent obtained
<br /> trom the tau records at the time this corporation failed co meec the sntutory deadline for payment of bieanial feec.
<br /> '1!u n°a°° will be �leared when thLc certlfied documeat ia filed with the county clerk in the county in which the desi�ated
<br /> nqietered ot6ce was locaud as chown on the corporate records in the offiee of the Secreury of�wte at the time the notic:e was
<br /> libd.
<br /> CERTIFICATE OF GO00 STANDING IN THE STATE OF NEBRASKA
<br /> I, ALLEN J.BEERMANN, $ecretary of State, do hereby certify the above-named corporation to be in good
<br /> stat►ding.
<br /> IN TESTIMONY WHEREOF, the Secretary of State of Nebraska has hereby affixed his siqnature or facsimile
<br /> thereof and xal on the date set out in the recording data.
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