SW1210503_SoS Doc (Madison Manufacturing)_20210730

(9 BUSINESS CORPORATION ANNUAL REPORT
10-2017
NAME OF BUSINESS CORPORATION: Madison Manufacturing Company
SECRETARY OF STATE ID NUMBER: 0298065 STATE OF FORMATION: DE
REPORT FOR THE FISCAL YEAR END: 12/31/2020
SECTION A: REGISTERED AGENT's INFORMATION
1. NAME OF REGISTERED AGENT: I YC)N (-HARI FR
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Filing Utfice Use Uni
Filed Annual Report
)298065
3A202105501925
?/24/2021 10:30
FX_j Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
172 South Andrews Avenue 172 South Andrews Avenue
Hot Springs, NC 28743 Madison County Hot Springs, NC 28743
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Madison ManufacturinLy Co
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] x 3. PRINCIPAL OFFICE EMAIL: Privpry RpriAr.fir)n
4. PRINCIPAL OFFICE STREET ADDRESS
172 S. Andrews Avenue
Hot Springs, NC 28743
5. PRINCIPAL OFFICE MAILING ADDRESS
172 S. Andrews Avenue
Hot Springs, NC 28743
6. Select one of the following if applicable. (Optional see instructions)
1:1 The company is a veteran -owned small business
F-1 The company is a service -disabled veteran -owned small business
SECTION C: OFFICERS (Enter additional officers in Section E.)
NAME: Frankie Jenkens
TITLE: Pracirianf
ADDRESS:
PO Box 187
Hot Springs, NC 28743
NAME: Charles Lyon
TITLE: Secretary
ADDRESS:
172 S. Andrews Ave
Hot Springs, NC 28743
NAME: Charles Lyon
TITLE: Ti-nnc-iii-ni-
ADDRESS:
172 S. Andrews Ave
Hot Springs, NC 28743
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entharles Lyon 2/24/2021
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Charles Lvon Secretary
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
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If cMjMFREY V. BULLOCK,
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INCORPORATED
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UNDER TRE MS
The F 1*rst State
SECRETARY OF STATE
OF TnE STATE
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OF
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"bMDXSON bZLVUFACTE11R1NG COMPANY" IS DULY
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STANDING AND HAS A LEGAL CORPORATE EX1Sxw9N10E SO FAR AS
OF THIS OF710E SHOW, AS OF TRE NXNTH DAY OF MARCH, A.D.,
THE RECORDS
202010
AND I DO REREBY FVRTRER CERTIFT TIMT TIM AA'UMAL REPORTS IMIM
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AM I DO BEREBY
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TO DA
SR# 20201994954
L*VR7_1_R CERTIFY THAT TEE FRANCHISE
You may verify this certificate online at corp.delaware.gov/authver.shtmi
TAXES HAVE
J owiy �0., suaincir. 94woory of !&to
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Authentication: 202540781
Date: 03-09-20

BOOK 643
327817
PAGE
547
(1)
Filed: Madison County, NC
01/04/2018 12638021 P M
Susan Rector, Register of Deeds
ASSUMED BUSINESS NAME CERTIFICATE {NCGS 66-71 5
Please print legibly.
1. The assumed business name is:
Peerless Blowers
(You may include no more than five (5) assumed business names on this form.)
2. The real name of the person or entity engaging in business under the assumed business name is:
Madison Manufacturing Company (SIDSID 0298065)
(Corporations, LLC's, limited partnerships must provide the exact name registered with the NC Secretary of State's office and
the SOSID number assigned at the time of formation. Go to www.sosnc.
*aft
ovZbr/search to look up your information.)
3. The nature/type of the business is,, Metal Fabrication and Assembly
4. The street address of the principal place of business is: (PO Boxes are not acceptable)
172 S. Andrews Ave, Hot Springs, NC 28743
5. The mailing address, i
PO.Box 187, Hot SI
f different from the street address,, ism,
rin
s, NC 28743
6. The counties where the assumed business name will be used to engage in business are..
o All 100 North Carolina counties
Madison County
This certificate 1*s signed bii���� the owner/lega
this qday of �Gn U40� �
Signature:
M ( 14CM00
GEW
Printed/Typed Name: Mike McFerrin
I repre,111111jjjjjj�lentative of the person or entity named above,
,p 201 i.
Title.: Secretary / Treasurer
(See instructions for who must sign for various business entity types.)
Assumed Business Name Certificate
10101017