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r ►— / A \ <br />State of California <br />` Secretary of State <br />FILSD <br />Statement By Unincorporated Association <br />secretary of ®tft <br />(Corporations Code section 18200) <br />State of Callforflia <br />JAN 2 4 2020 Pcw <br />I <br />This space For Fling use Only <br />A $26.00 filing The must accompany this form. <br />IMPORTANT — Read Instructions before completing this form. <br />Entity name <br />1. Name of Unincorporated Association <br />Our Lady of Guadalupe Church <br />Principal Office Address In California, if any (g any, in Item 21st the street address of the assodatton's principal office address in Celifomia <br />and proceed to Item 4 (leave Item 3 blank.) If the association has no principal office address in CA, leave Rpm 2 blank and proceed to Rem 3a.) <br />2. Street Address of Principal Office in CA CRY State Zip Code <br />541 East Central Avenue Santa Ana CA 92707 <br />Street & Mailing Addresses (If Item 2 was not completed, in Item 3a gat the association's complete street address to which the Secretary of <br />Stets shell sand any required notices and, if different from item 3a, In Item 3b list the association's mailing address.) <br />3a. Street Address'of Unincorporated Association City State Zip Code <br />3b. Meiling Address of Unincorporated Association, If different from Item 39 City State Zip Code <br />Agent For Service of Process (If Item 2 was completed, the association may designate an agent for service of process. If, however, Item 3 <br />was completed, the association must designate an agent for service of process. If,the agent Is an Individual, the agent must reside in California <br />and both Items 4 and 5 must be completed. If the agent is a corporation, the agent must have a certificate pursuant to California Corporations Code <br />section 1505 on file and Item 4 must be completed (leave Item 5 blank). <br />4. Name of Agent for Service of Process <br />C T Corporation System <br />5. If an Individual, Street Address of Agent for Service of Process in CA City State Zip Code <br />CA <br />Amended Filing (If the unincorporated association filed a prey ous statement with the Secretary of State, enter the Secretary of State file number <br />In Item 6, and if the name under which the unincorporated association previously filed differs from the name entered in Item 1, enter the former' <br />name of the unincorporated association in Item 7. If the last statement filed by the association has expired, or if no prior statements have been filed, <br />leave Items 6 and 7 blank and proceed to Item 8.) <br />8. Secretary of State File Number <br />7. Former Name of Unincorporated Association (y different from the name in Item 1 above) <br />Execution <br />8. The informatidn contained herein is true and correct. <br />.�e..� ,,,,,d_ �1...�,a,,.a_^ ' 'ar.�srf.Nbo /L'ewigr�a NJ..f.,y:>♦I.`�o(y <br />Signature of Peraon�=pgff This Flinn- Type ar Pdnt Name and Titre of Person Completing This Form <br />f.• n <br />UA•100 (REV 012019) APPROVED BY SECRETARY OF STATE <br />