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                                                     DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY. 
                                                     STATEMENT OF CORRECTION 
                                                     LIMITED LIABILITY COMPANY 
                                                            Read the Instructions L030i 

1. ENTITY NAME – give the exact name in Arizona of the LLC as currently shown in A.C.C. records: 
   __________________________________________________________________________________________________ 

2. DOCUMENT BEING CORRECTED – provide the information below for the document being corrected OR
   check this box   and attach a copy of the defective document.  
   2.1       Document name or title:                 __________________________________________________________________ 
   2.2       Document ID # (bar code number):               __________________________________________________________ 

3. DATE DOCUMENT WAS FILED (DATE RECEIVED):                  _________________________________________________ 
4. INCORRECT STATEMENT OR DEFECTIVE EXECUTION – print the exact incorrect statement below or describe how 
   the filing was defectively signed.  

5.     EXPLANATION - briefly explain or describe how or why the statement is incorrect or how or why the execution, 
   attestation, verification or acknowledgement is defective: 

6. CORRECT STATEMENT OR EXECUTION - print the exact correct statement below or describe the correct execution, 
   attestation, verification or acknowledgement:

SIGNATURE:   By checking the box marked "I accept" below, I acknowledge under penalty of law that this document together 
             with any attachments is submitted in compliance with Arizona law.
                                                             I ACCEPT 

Signature                                                   Printed Name                                                 Date 
REQUIRED – check only one and fill in the corresponding blank if signing for an entity: 
   I am an individual authorized to sign this document.                  I am signing on behalf of an entity that is 
                                                                         authorized to sign this document.

Expedited or Same Day/Next Day services are available for an additional fee – see Instructions or Cover sheet for prices. 
                                                              Mail:     Arizona Corporation Commission - Examination Section
Filing Fee:  $25.00 (regular processing)                                  1300 W. Washington St., Phoenix, Arizona  85007 
                                                              Fax (for Regular or Expedite Service ONLY): 602-542-4100
All fees are nonrefundable - see Instructions.                Fax (for Same Day/Next Day Service ONLY): 602-542-0900
Please be advised that A.C.C. forms reflect only the minimum provisions required by statute.  You should seek private legal counsel for those matters that may pertain 
to the individual needs of your business.  All documents filed with the Arizona Corporation Commission are public record and are open for public inspection.  
If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819. 
L030.005                                                                                               Arizona Corporation Commission – Corporations Division 
Rev: 10/2020                                                                                                                                          Page 1 of 1