Last updated: 6/27/2023
Notice Of Withdrawal Of Registration {500-12}
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Description
Nevada Form 500-12 Notice of Withdrawal BARBARA K. CEGAVSKE Secretary of State Phone (702) 486-2440 Fax (702) 486-2452 Website: www.nvsos.gov of Registration ABOVE SPACE FOR OFFICE USE ONLY Date: 1.The undersigned hereby gives NOTICE OF WITHDRAWAL of the following application for registration in theState of Nevada.Name of Issuer Address of Issuer Street or Mailing Address City State Zip Code Nevada Securities Division File No.: 2.I certify that no sales of securities in connection with this application for registration have occurred in the Stateof Nevada except:None Sales identified on the attached sheet Note: If any sales have occurred, the issuer must submit a complete accounting of all sales satisfactory to the Securities Division and await formal written approval of withdrawal by the Division. 3.I understand that no refund of any filing fee in connection with this application will be made.4.Submitted by:Signature of Submitter Name of Submitter Address of Submitter Street Address City State Zip Code Telephone: Nevada Secretary of State Securities Form 500-12 Revised: X American LegalNet, Inc. www.FormsWorkFlow.com
