CD-479 (39) Business Corporation North Carolina Ann North Carolina Elaine F. Secretary Marshall of State
10-28-08 CA201004900150
This report may be filed online at the Secretary of State website: www.sosnc.cc
SOSID: 0714553
Date Filed: 2/8/2010 11:22:00 AM
Name of Business Corporation: CHURCH & CO INC
Fiscal Year Ending: 12-31-09 State of Incorporation: NC
Month / Day / Year
Secretary of State ID Number: 0714553
1 xl therefore I hereby certify complete. that the information requested below (required by NCGS 55-16-22) has not changed since the most recently filed annual report and is
Nature of Business:
City: State: ZIP Code:
Principal Office Street Address:
City: State: ZIP Code:
Name, Title, and Business Address of Principal Officers:
Certification of annual report (Must be completed by all Business Corporations).
Name: Title:
Address:
City: State: ZIP:
Name: Title:
Address:
City: State: ZIP:
Name: Title:
Address:
City: State: ZIP:
Registered Agent:
Registered Office Mailing Address:
County: City: State: ZIP Code:
Registered Office Street Address:
County: City: State: ZIP Code:
Signature of New Registered Agent:
Principal Office Telephone Number:
Principal Office Mailing Address:
(Signature constitutes consent to the appointment)
Izq jw
Signature (Form must be signed by an officer of corporation)
THOMAS W. CHURCH
969511 09-16-09 Type or Print Name
NC
CO CHURCH INC &
0714553 0714553
2/8/2010
Corporation Carolina Business North Ann
Elaine F. Marshall
North Carolina Secretary of State
CHURCH THOMAS W.