SW4210703_Signing Official Title & Position Information_20210803

AMENDED BUSINESS CORPORATION ANNUAL REPORT
10-2017
NAME OF BUSINESS CORPORATION: Sagamore Homes NC, Inc.
1657485 Bing roe us$ n y
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: NC E -Filed Annual Report
1657485
REPORT FOR THE FISCAL YEAR END: 12/31/2020 CA202119402116
7/13/2021 05:00
SECTION A: REGISTERED AGENT'S INFORMATION I © Changes
1. NAME OF REGISTERED AGENT: Anson, Kenneth L. , Jr.
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT To THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
1348 Westgate Center Dr. 1348 Westgate Center Dr., Suite 100
Winston Salem, NC 27103 Forsyth County Winston Salem, NC 27103
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Residential Construction
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
1348 Westgate Center Dr., Suite 100 1348 Westgate Center Dr.
Winston-Salem, NC 27103 Winston-Salem, NC 27103
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: OFFICERS (Enter additional officers in Section E.)
NAME: Walton T Bunker
TITLE: Vice President
NAME: Kenneth L Anson Jr.
TITLE: President
NAME: James W Merrill
TITLE: Vice President
ADDRESS: 1348 Westgate Center Dr. ADDRESS: 1348 Westgate Center Dr. ADDRESS: 1348 Westgate Center Dr.
Suite 100
Winston Salem, NC 27103
Suite 100 Suite 100
Winston Salem, NC 27103 Winston Salem, NC 27103
SECTION D: CERTIFICATION OF ANNUAL REPORT Section D must be completed in its entirety by a person/business
ent't .
Wenneth L Anson Jr. 7/13/2021
SIGNATURE
Form must be signed by an officer listed under Section C of this form.
Kenneth L Anson Jr.
President
Print or Type Name of Officer Print or Type Title of Officer
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525. Raleigh, NC 27626.0525
DATE