SW6230804_Signing Official Title & Position Information_20230817

0 LIMITED LIABILITY COMPANY ANNUAL REPORT
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NAME OF LIMITED LIABILITY COMPANY: A & S Land, LLC
SECRETARY OF STATE ID NUMBER: 1693017 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 7n7Q
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Mitchell, Benjamin Scott
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Filing Office Use Only
E - Filed Annual Report
1693017
CA202302017016
1 /20/2023 04:30
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
1501 Lakestone Village Lane, Suite 205
Fuquay Varina, NC 27526 Wake County
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Rawl Pcfnfa
2. PRINCIPAL OFFICE PHONE NUMBER: [phone]
4. PRINCIPAL OFFICE STREET ADDRESS
1501 Lakestone Village Lane, Suite 205
Fuquay Varina, NC 27526
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
1501 Lakestone Village Lane, Suite 205 1501 Lakestone Village Lane, Suite 205
Fuquay Varina, NC 27526 Fuquay Varina, NC 27526
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: Benjamin Scott Mitchell
TITLE: President
ADDRESS:
NAME: Adam Blake Aycock
TITLE: Vice President
ADDRESS:
1501 Lakestone Village Lane, Suite 205 1501 Lakestone Village Lane, Suite 205
Fuquay Varina, NC 27526 Fuquay Varina, NC 27526
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Adam Blake Aycock 1/20/2023
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form.
DATE
Adam Blake Aycock Vice President
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