Due on or Before: October 1, 2019 11111111111111111111111111111111111111111111111111
1D: 2004-000475112
State of Formation: Wyoming ID: 2004-000475112
License Tax Due: $50.00 Filed: 10/22/2019 06:10 PM
AR Number: 05142710 AR Number: 05142710
Perry Construction LLC Current Registered Agent
1: Mailing Address 425 Peter S R Socony Perry
425 So. Socony Casper, WY 82609
Casper, WY 82609
2: Principal Office Address information complete the and, appropriate if it needs Statement to be changed of Change or updated, form
425 So. Socony http://soswv.state.wv.us available from the Secretary of State's website at
Casper, WY 82609
• Please review the current Registered Agent
Signature Printed Name Date
2019 Limited Liability Company Annual Report
I hereby certify under the penalty of perjury that the information I am submitting is true and correct to the best of my knowledge.
Po--er Perm October 17, 2019
The fee is $50 or two-tenths of one mill on the dollar ($.0002), whichever is greater.
Instructions:
1. Complete the required worksheet. provided above.
2. Sign and date this form and return it to the Secretary of State at the address
Casper,
WY
Socony 425 S
82609
Peter R Perry
Casper, Casper,
WY WY
425 So. Socony 425 So. Socony
82609 82609
Wyoming
Perry Construction LLC
2004-000475112 2004-000475112
10/22/2019 06:10 PM
October 1, 2019
greater. whichever is dollar ($.0002), one mill on the two-tenths of fee is $50 or The
Limited Liability Company Annual Report
05142710 05142710
http://soswv.state.wv.us
17, 2019 October
Po--er Perm