Due on or Before: May 1, 2020 Wyoming Secretary For of Office State Use Only
ID: 2019-000854039 Herschler Bldg East, Ste.100 & 101, Cheyenne, WY
State of Formation: Wyoming 82002-0020
License Tax Paid: $50.00 307-777-7311
AR Number: 05665370 https://wyobiz.wy.gov/Business/AnnualReport.aspx
BSMH LLC Current Registered Agent:
1: Mailing Address Capital 1712 Pioneer Administrations Ave Ste 115 LLC
1712 Pioneer Ave. Cheyenne, WY 82001
Ste. 500
Cheyenne, WY 82001
I hereby certify under the penalty of perjury that the information I am submitting is true and correct to the best of my knowledge.
L. Moore (Authorized Agent) L. Moore (Authorized Agent) April 3, 2020
Signature Printed Name Date
2020 Limited Liability Company Annual Report
2: Principal Office Address information complete the and, appropriate if it needs Statement to be changed of Change or updated, form
1712 Pioneer Ave. http://soswy.state.wy.us available from the Secretary of State's website at
Ste. 500
Cheyenne, WY 82001
• Please review the current Registered Agent
Phone: (307) 632-3333
Email: tax@wyomingcompany.com
The fee is $50 or two-tenths of one mill on the dollar ($.0002), whichever is greater.
Instructions:
1. Complete the required worksheet.
2. Sign and date this form and return it to the Secretary of State at the address provided above.
Cheyenne,
WY
1712 Pioneer Ave Ste 115
82001
Capital Administrations LLC
Cheyenne, Cheyenne,
WY WY
1712 Pioneer Ave. Ste. 500 1712 Pioneer Ave. Ste. 500
82001 82001
Wyoming
BSMH LLC
2019-000854039
May 1, 2020
The fee is $50 or two-tenths of one mill on the dollar ($.0002), whichever is greater.
Limited Liability Company Annual Report
05665370
Cheyenne,
WY
Herschler Bldg East, Ste.100 & 101,
82002-0020
307-777-7311
http://soswy.state.wy.us
Wyoming Secretary of State
(307) 632-3333 tax@wyomingcompany.com
April 3, 2020
L. Moore L. Moore
(Authorized Agent)