PAUL D. PATE                               PROFIT CORPORATION 

                                                                         STATEMENT OF 
        Secretary of State
                                                                         WITHDRAWAL
                         State of Iowa

TO THE SECRETARY OF STATE OF THE STATE OF IOWA:

   Pursuant to Iowa Code section 490.1507, the undersigned corporation submits a statement of withdrawal
   from Iowa, and states:

1. The name of the corporation is _____________________________________________________________
   and the name the corporation uses in Iowa if different than its real name is:
   _____________________________________________________________________________________

2. The corporation is incorporated under the laws of the state [or foreign country] of ______________________

3. The corporation desires to withdraw from Iowa effective:

        at the time of filing. OR        ___________________________________ .

4. The corporation is not doing business in Iowa and withdraws its registration to do business in Iowa.

5. The corporation revokes the authority of its registered agent in Iowa.

6. The mailing address to which the secretary of state may mail a copy of any process served on the secretary 

   of state pursuant to Iowa Code section 490.504 is:
   Name ________________________________________________________________________________                       
   Address_______________________________________________________________________________ 
   City, State, ZIP _________________________________________________________________________ 
   The corporation will notify the secretary of state in the future of any change in this mailing address.

   Date  ______________________________ 

   Signature______________________________________________________________________________ 

   Type or print name and title  _______________________________________________________________

   The filing fee is $10.00.  Make checks payable to SECRETARY OF STATE

635_0115
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NOTES:

1. The filing fee is $10.00.  Make checks payable to SECRETARY OF STATE

2. The document is to be signed by the chairperson of the board, the president, or other officer of the corpora-
   tion.  If directors have not been selected, the document is to be signed by an incorporator.  If the corporation 
   is in the hands of a court appointed fiduciary, the document is to be signed by the fiduciary.  A copy of a 
   signature is acceptable for filing.  Verification is not required.

3. One copy of the document is to be delivered to the secretary of state for filing.

4. The effective time and date of the document is the later of the following:
   a. the time of filing on the date it is filed;
   b. the time specified in the document on the date it is filed;
   c. the time and date specified in the document, not later than 90 days after the date it is filed.

5. The information you provide will be open to public inspection under Iowa Code section 22.11.

                                                 SECRETARY OF STATE
                                                 Business Services Division
                                                 Lucas Building, 1st Floor
                                                 Des Moines, Iowa  50319

                                                 Phone:  (515) 281-5204
                                                 FAX:  (515) 242-5953

635_0115                                         Website: sos.iowa.gov
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