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LLC-12 19-C27903 <br /> Secretary of State <br /> i Statement of Information FILED <br /> Limited Liability Company) <br /> In the office of the Secretary of State <br /> of the State of California <br /> IMPORTANT—Read Instructions before completing this form. <br /> Filing Fee–$20.00 JUN 13, 2019 <br /> Copy Fees–First page$1.00:each attachment page$0 50, <br /> Certification Fee-$5 00 plus copy fees This Space For Of rO Use Only <br /> 1. Limited Liability Company Name IEnte'the exact name of the LLC it you registered in Ca forma using an allernale name <br /> e nsfru'i ons) <br /> NATIONAL SAN JOAQUIN LLCfo.med outs(I@ of California) <br /> 2. 12-Digit Secretary of State File Number 3. State,Foreign Country or Place of orgarization(only' <br /> 201916310574 CALIFORNIA <br /> 4. Business Addresses o _ Su:e Lv Coda <br /> COY(no ebb+enatiais) CA 95337 <br /> • Siren Addross N principal orrice�Po not list P O Box MANTECA <br /> 401 SOUTH AIRPORT WAY sate by Code <br /> coy(no abbmviations) CA 95134 <br /> b Mailing Address o1 LLC M different thin hem 4 SAN JOSE <br /> 2880 ZANKER RD. STE 106 state Dp Code <br /> c Street Address of California Office.d nor b <br /> em 4a is not in California-Do nor e P o Box ply Ino abber'ations) CA 95337 <br /> 401 SOUTH AIRPORT WAY MANTECA — <br /> II no manages nave been appointed or elected.prowda the name and address of each member At least one name n address <br /> must be fisted If the manageomember Is an individual.complete Items Sa and 5c(lee.e Item 5b blmana manager or membeif the rr�saheb LLC <br /> S. Manager(s)or Member(a) an onlay,wmpiete Items 5b and 5C(leave Item Sa Mans) Note The LLC cannot serve as its ow* ) g <br /> has adoitional managefslmembers,enter the name(s)and addresses on Form LLC 12A( Sudh. <br /> Middle Nam. Last Name <br /> a First Name of an individual Do not complete nem Sb RUDAKOV <br /> ALEX <br /> b Entity Noma Do not complete Item Sa <br /> State Zip Code <br /> c Address Cityabbrov+ CA 94010 <br /> 1425 SAN RAYMUNDO RD. _ HILLSBOROUGH <br /> 6. Service of Process(Must provide ether Individual OR Corporation) <br /> INDIVIDUAL-Complete Items 6a and lib only Must include agent's full name and California street address ' <br /> Middle Nam. las'Name <br /> a Cnhlania Agent a First Name(d agent is is not a corporation) RUCAKOV <br /> ALEXii sate Zip Code <br /> 28801ZANKtIR RDnSUITIOfit D°not.nur.Po ea. ptylroabbrevalims)- -- --_ – - 95134 _ <br /> SAN JOSE cif <br /> CORPORATION-Complete Item 6c only Only Indude the name of the reg stered agent Corporation _ <br /> c Cdldomo Rogislered Corporate Agents Name(a agent is a corporation)-Do not complete item 6a or 6b <br /> 7. Type of Business <br /> a Describe the type o1 business Of samoes of the:imilod Liability Company <br /> RENTAL — — <br /> 13. Chief Executive Officer,if elected or appointed <br /> Mid0l0 Nemo Last'vamo StMis � <br /> a First Name <br /> Ely(ro abtxe��ations) Stale Zip Code <br /> b Address <br /> 9. The Information contained herein,Including any attachments,is true and correct. <br /> 06/13/2019 TATIANA CHERKAS ACCOUNTANT <br /> Ddte Type or Print Name of Person Completing the Form Title Signature <br /> Return Address(Optional)(For common Callon from the Secretary of Sate related to this document,or if purchasing a copy or the filed document enter the name of e <br /> prrson or company and the mailing address Th s information Will become publ C when filed Si E iC ',r\S BEFORE COMPLETING) <br /> Name <br /> Company, <br /> Address <br /> City/State7Zip L <br /> LLC-12(REV 01/2017) Page 1 of 2 2017 California Secretary of State <br /> YVNw sas ca gNtusrless'be <br />