HomeMy WebLinkAboutNCG060007_Name-Owner Change Supporting Info_2/12/2020PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
0....
Water Resources
ENVIRONMENTAL QUALITY
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00 1 1 1 1 or NCGO 61 0 1 0 1 0 17
1. Facility Name: Keystone Foods
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
Deoro Foods doing business as Dorada Foods, LLC Reidsville
3. New owner's or signing official's name and title:_ Louis G. Huohes Jr.
(Person legally responsible for permit)
General Manager
(Title)
4. Mailing address: 227 Eguity Drive City: Reidsville
State:NC Zip Code: 27320 Phone: (336)-361-6000
E-mail address: louls.hughes@keystonefoods.com
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1- This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina, Environmental Quality 1 Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https :'deq.nc.gov:aboutldivisions/water-resources/water-resources-permits.-wastewater-branch-npdes-wastewater-permits
NPDES Name & Ownership Change
Page 2 of 2
Applicant's Certification:
I. Lcmui_s . � u � -fir, , attest that this application for a
name/ownership change` as been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature: s Date: Oq-Ib-Zo IR
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ I DWR I NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 712016
BILL OF SALE
THIS BILL OF SALE is made as of August 31, 2019 by KEYSTONE FOODS LLC, a
Delaware limited liability company ("Seller"), in favor of DEORO FOODS LLC, an Oklahoma
limited liability company ("Buyer"), pursuant to the Asset Purchase Agreement entered into by and
between Seller and Buyer dated as of July 17, 2019 (the "Purchase Agreement"). Any capitalized
terms used but not defined in this Bill of Sale have the meanings given in the Purchase Agreement.
For good and valuable consideration, Seller hereby grants, bargains, sells, assigns, transfers,
and delivers unto Buyer all of the Transferred Assets, to have and to hold the same unto Buyer, its
successors and assigns forever, clear and discharged of and from all former grants, charges, taxes,
judgments, security interests, and other liens and encumbrances of whatsoever nature, other than
Permitted Liens.
This Bill of Sale is made pursuant and subject to the Purchase Agreement. This Bill of Sale
incorporates all of the terms, conditions, representations, warranties, and covenants in the Purchase
Agreement. Nothing in this Bill of Sale is intended to supersede, modify, limit, expand, or amend
any of the rights or obligations of Seller or Buyer under the Purchase Agreement.
Signalure Page Folloirs
SELLER:
Dated as of the date first stated above.
KEYSTONE FOODS LLC
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Name:
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Title:_ SCy+;ur V;, iDrE' r.-. -
Signature Page to Bill of Sale
OFFICE OF THE SECRETARY OF STATE
CERTIFIED COPY OF ONE PARTICULAR
DOCUMENT
CERTIFICATE
I THE UNDERSIGNED, Secretary of State, of the State of Oklahoma do
hereby certify that, to the date of this certificate, the attached is a trite and correct
copy of the document on file as described below of.
DOCUMENT TYPE
Articles of Organization
w
f
* 4t
1907 '
NAME OF ENTITY
DEORO FOODS LLC
DOCUMENT FILING DATE
June 19, 2019
IN TESTIMONY WHEREOF, I hereunto
set my hand and affixed the Great Seal of
the State of Oklahoma, done at the City of
Oklahoma City, this 241h, day of AIL
2019.
OR
�J
Secretary Of State
OFFICE OF THE SECRETARY OF STATE
CERTIFICATE
OF
LIMITED LIABILITY COMPANY
WHEREAS, the Articles of Organization of
DEORO FOODS LLC
an Oklahoma limited liability company has been filed in the office of the Secretary of
State as provided by the laws of the State of Oklahoma.
NOW THEREFORE, I, the undersigned, Secretary of State of the State of
Oklahoma, by virtue of the powers vested in me by law, do hereby issue this certificate
evidencing such filing.
IN TESTIMONY WHEREOF, I hereunto set my hand and cause to be affixed
the Great Seal of the State of Oklahoma.
Filed in the city of Oklahoma City this
191h day of Jude. 0119.
R
Secretary of State
1907
FILED - Oklahoma Secretary of State#3512761766 06/19/2019
OKLAHOMA Secretary of State Electronic Filing
ARTICLES OF ORGANIZATION
DOMESTIC LIMITED LIABILITY COMPANY
Document Number: 41279270002 Submit Date: 6/19/2019
LIMITED LIABILITY COMPANY NAME
The name of the Limited Liability Company is:
DEORO FOODS LLC
PRINCIPAL PLACE OF BUSINESS ADDRESS
3817 NORTHWEST EXPRESSWAY, #900 Email - dkonadk@lopezfoods.com
OKLAHOMA CITY, OK 73112 USA
EFFECTIVE DATE F
Effective Date:
Same as filing date.
-------- - -- - - DURATION --
Perpetual
REGISTERED AGENT AND REGISTERED OFFICE ADDRESS
Agent Name
LEN B CASON
Address
201 ROBERT S KERR AVE., SUITE 1600
OKLAHOMA CITY, OK 73102 USA
ATTACHMENTS
File Label File Name and Path
SIGNATURE
I hereby certify that the information provided on this form is true and correct to the best of my knowledge
and by attaching the signature I agree and understand that the typed electronic signature shall have the
same legal effect as an original signature and is being accepted as my original signature pursuant to the
Oklahoma Uniform Electronic Transactions Act, Title 12A Okla. Statutes Section 15-101, et seq.
Dated - 6/19/2019
Signature Names
JIM ENGLISH
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