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• <br /> A-11 Secretary of State2 <br /> ai fw SAM REED <br /> INITIAL ANNUAL REPORT <br /> FEE: $10.00 <br /> RETURN COMPLETED FORM AND PAYMENT TO: Entity Name:KROLL SCHIFF&ASSOCIATES,INC. <br /> (Checks made payable to secretary of State? Payment Due By:12/7/2005 <br /> Corporations Division Unified Business Identifier:602-169-707 <br /> 801 Capitol Way South <br /> PO Box 40234 State of Incorporation:TX <br /> Olympia,WA 98504-0234 <br /> Inc./Qual.Date:8/9/2005 <br /> TO AVOID DISSOLUTION/REVOCATION,AN INITIAL ANNUAL REPORT MUST BE FILED AND PROCESSED PRIOR TO:12/7/2005 <br /> Current Registered Agent/Office Registered Agent/Office Changes(Changes must be approved by the Board of Directors) <br /> New Registered Agent Name <br /> CORPORATION SERVICE COMPANY <br /> 202 NORTH PHOENIX STREET Consent to <br /> Appointment <br /> Signature of New Registered Agent <br /> OLYMPIA,WA98506 Required Street <br /> Address <br /> City State WA Zip Code <br /> • <br /> Optional Mailing Address <br /> City State WA Zip Code <br /> INITIAL ANNUAL REPORT SECTION MUST BE FILLED IN COMPLETELY—TYPE OR PRINT IN BLACK INK <br /> 'rincipal place of business in WA <br /> WA <br /> Address City zip <br /> telephone( ) Email Nature of Business <br /> =oreign Entities-Principal office address in slate/country of Origin <br /> Address City State <br /> Zip Country <br /> :ORPORATION:Print or type names and addresses of corporate officers and directors including President,Vice President,Secretary,and Treasurer_If <br /> ipplicabie the Chair of the Board of Directors and Directors.LLC:Print or type names and addresses of Members or Managers.(attach additional fist if necessary) <br /> Name Title Address <br /> City State Zip <br /> Name Title <br /> Address City State Zip <br /> Name Title <br /> Address City State Zip <br /> Name Title <br /> Address City State ZiP <br /> Name Title Address <br /> City State <br /> IGNATURE Signature of Chairman of the Board.Officer,Member or Manager fisted above Type or Print Name and Title <br /> Date <br /> CORPORATIONS INFORMATION AND ASSISTANCE—360/753-7115(TDD 360/753-1485} <br /> Rev.01-004 11/03 <br /> 9 <br /> 9 <br />