SW3190804_2712 - Pine Forest II Anita Johnson_12/19/2019

61 LIMITED LIABILITY COMPANY ANNUAL REPORT
IOJ2017
NAME OF LIMITED LIABILITY COMPANY: JGNC II, LLC
SECRETARY OF STATE ID NUMBER: 1562868 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: )r11 o
E - Filed Annual Reporl
1562868
CA201908302291
3/24/2019 10:26
SECTION A: REGISTERED AGENT'S INFORMATION uChanges
1. NAME OF REGISTERED AGENT: johnson, michael h
2. SIGNATURE OF THE NEW REGISTERED AGENT:
3. REGISTERED OFFICE STREET ADDRESS & COUNTY
323 walnut street
Statesville, NC 28677-5327 lredell County
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate
2. PRINCIPAL OFFICE PHONE NUMBER: (704) 996-1 195
4. PRINCIPAL OFFICE STREET ADDRESS & COUNTY
323 Walnut Street
Statesville, NC 28677-5814
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
4. REGISTERED OFFICE MAILING ADDRESS
323 walnut street
Statesville, NC 28677-5327
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
323 Walnut Street
Statesville, NC 28677-5814
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E. )
NAME: Anifn Inhncnn
TITLE: lkAamhiar
ADDRESS:
323 Walnut St
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
Statesville, NC 28677
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a personlbusiness entity.
Anita Johnson 3/24/2019
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form.
Anita Johnson
Member
DATE
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NO 27626-0525