SW3221005_Recorded Document_20230216

0 LIMITED LIABILITY COMPANY ANNUAL REPORT
1/6/zozz
NAME OF LIMITED LIABILITY COMPANY: Boulder Run, LLC
Filing Office Use Only
SECRETARY OF STATE ID NUMBER: 2191084 STATE
OF FORMATION: NC E - Filed Annual Report
2191084
REPORT FOR THE CALENDAR YEAR: 2022
202206766
3/16/2022 04:01
SECTION A: REGISTERED AGENT'S INFORMATION
Changes
1. NAME OF REGISTERED AGENT: Shott, Jason
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
131 Plantation Ridge Drive, Suite 200
P O Box 3818
Mooresville, NC 28117 Iredell County
Mooresville, NC 28117
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Property Developer
2. PRINCIPAL OFFICE PHONE NUMBER: [phone]
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
131 Plantation Ridge Drive, Suite 200
PO Box 3818
Mooresville, NC 28117
Mooresville, NC 28117
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: Jason Shott
TITLE: Member
ADDRESS:
P O Box 3818
Mooresville, NC 28117
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Jason Shott
3/16/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Jason Shott Member
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, NC 27626-0525