6829 BEVERLY BLVD 2022-04-04 - Laserfiche WebLink

,f. s In I . Office of the Secretary of State o Corporations & Charities Division w° k o Mail completed forms to: Corporations and Charities Division XI PO Box 40234 Olympia,WA 98504-0234 ❑ Expedite Services$50 Failure to file this annual report by your expiration date will result in a$25 delinquency ❑Nonprofit $10 fee and may result in administrative dissolution - o All Other Entity Types$60 ANNUAL REPORT o Delinquency Fee$25 RCW 23.95.255 All fields required unless otherwise specified Entity Name: TDES33011, LLC UBI: 604 392 623 Has your registered agent changed? u YES ❑ NO(if Yes,complete the Statement of Change on page 2) Principal Office Street Address Mailing Address (optional) (Must be a physical address;No PO Boxes or PMB) 0 Check if mailing address is the same as street address. Address: Address: P.O Box 12922 Zip: City: Zip: 98082 City: Mill Creek State: Country: State: WACountry: USA Phone: (optional) 425-344-4991 Email: (optional)lacqueeowens@cbbain.com Governor(s) (list at least one,attach additional pages if necessary)*An entity cannot serve as its own Governor Name: Owen Owens Name: Jacqueline Owens Name: Name: Name: Name: Nature of Business (briefly describe the type of business your entity conducts in the state of Washington): real property investment Controlling Interest(answer all three questions below) 1. Does your company own real property(including leasehold interests) in Washington? it YES o NO 2. Has there been a transfer of stock, other financial interest change, or an option agreement exercised during the last 12 months that resulted in a transfer of controlling interest? o YES o NO 3.Has an option agreement been executed in the last 12 months allowing for the future purchase or acquisition of the entity,that,if exercised would result in a transfer of controlling interest? o YES m NO This document is hereby executed under penalty of law and is is to the best of my knowledge,true and correct. Signature of Authorized Person: .r - % _: Date: .f Print Name and Title(if applicable) Phone: (optional) 425-344-4991 Email: (optional) lacqueeowens@cbbain.com