Name of ▇▇▇▇▇(s) The named person's role in the firm, and
Company Name The Members may change the name of the Company or operate under different names, provided a majority of the Members agree and the name complies with Section ▇▇-▇▇-▇▇▇ of the Act.
Print Name Date: ..........................................................................
Name; Address Unless you have promptly notified the Manager In Writing otherwise, your name as it should appear in the Registration Statement, Prospectus or Offering Circular and any advertisement, if different, and your address, are as set forth on the signature pages hereof.
Full Name Position: ................................................ Position: ................................................ Date: ..................................................... Date: .....................................................