CC - Statement of Information 2016 - Sunny Cove V1�h State of California LL
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Cf[iFCpK�f STATEMENT OF INFORMATION
Secretary of State
(Limited Liability Company)
'
State of California
Filing Fee $20.00. If this is an amendment, see instructions.
IMPORTANT — READ INSTRUCTIONS BEFORE COMPLETING THIS FORM
APR 0 6 2015
1. LIMITED LIABILITY COMPANY NAME
SUNNY COVE, LLC
837 JEFFERSON BLVD
WEST SACRAMENTO, CA 95691-3205
This Space For Filing Use Only
File Number and State or Place of Organization
2. SECRETARY OF STATE FILE NUMBER 200306410198
3. CASTATEO IAR PLACE OF ORGANIZATION (If formed outside of Calfomia)
No Change Statement
4 If there have been any changes to the information contained in the last Statement of Information filed with the California Secretary of
State, or no Statement of Information has been previously filed, this form must be completed in its entirety.
0 If there has been no change in any of the information contained in the last Statement of Information filed with the California Secretary of
State, check the box and proceed to Item 15.
Complete Addresses for the Following (Do not abbreviate the name of the city. Items 5 and 7 cannot be P.O. Boxes.)
5. STREET ADDRESS OF PRINCIPAL OFFICE CITY STATE ZIP CODE
6. MAILING ADDRESS OF LLC, IF DIFFERENT THAN ITEM 5 CITY STATE ZIP CODE
7. STREET ADDRESS OF CALIFORNIA OFFICE CITY STATE ZIP CODE
CA
Name and Complete Address of the Chief Executive Officer, If Any
8. NAME ADDRESS CITY STATE ZIP CODE
Name and Complete Address of Any Manager or Managers, or if None Have Been Appointed or Elected, Provide the Name and
Address of Each Member (Attach additional pages, if necessary.)
9. NAME ADDRESS CITY STATE ZIP CODE
10, NAME ADDRESS CITY STATE ZIP CODE
11. NAME ADDRESS CITY STATE ZIP CODE
Agent for Service of Process If the agent is an individual, the agent must reside in California and Item 13 must be completed with a California address, a
P.O. Box is not acceptable. If the agent is a corporation, the agent must have on file with the Califomia Secretary of State a certificate pursuant to California
Corporations Code section 1505 and Item 13 must be left blank,
12. NAME OF AGENT FOR SERVICE OF PROCESS
13. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INDIVIDUAL CITY STATE ZIP CODE
CA
Type.of Business
14. DESCRIBE THE TYPE OF BUSINESS OF THE LIMITED LIABILITY COMPANY
15. THE I F MATION CONTAINED HEREIN, INCLUDING ANY ATTACHMENTS, IS TRUE AND CORRECT.
JAMES G ENGSTROM CPA
/DATIE TYPE OR PRINT NAME OF PERSON COMPLETING THE FORM TITLE SI ATURE
LLC-12 (REV 01l2014) APPR Y SECRETARY OF STATE
I hereby certify that the foregoing
transcript of page(s)
is a full, true and correct copy of the
original record in the custody of the
California Secretary of State's office.
SEP 0 1 2016
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A ILLP Sec raiary ar S1aN