20140575 Ver 1_General Correspondence_20140606

North Carolina Secretary of State
Account Login Register
Elaine F. Marshall
Secretary
Page 1 of 1
20 140 75
North Carolina
DEPARTMEN T OFTHE
SECRETARY OF .STATE
PO Box 29622 Raleigh, NC 27626-0622 (919)807 -2000
Date: 6/6/2014
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Corporation Names
Name
Name Type
NC DAVIDSON RETIREMENT
LEGAL
RESIDENCE LLC
NC 427 DAVIDSON LLC
PREV LEGAL
Limited Liability Company Information
SOSID:
1087296
Status:
Current- Active
Effective Date:
3/6/2009
Citizenship:
FOREIGN
State of Inc.:
WA
Duration:
PERPETUAL
Annual Report Status:
CURRENT
Registered Agent
Agent Name:
CT CORPORATION SYSTEM
Office Address:
150 FAY ETTEVILLE ST., BOX 1011
RALEIGH NC 27601
Mailing Address:
150 FAYETTEVILLE ST., BOX 1011
RALEIGH NC 27601
Principal Office
Office Address:
9310 NE VANCOUVER MALL DRIVE
VANCOUVER WA 98662
Mailing Address:
9310 NE VANCOUVER MALL DRIVE
VANCOUVER WA 98662
Officers /Company Officials
Title:
MANAGER
Name:
PREMIER MANAGEMENT SERVICES CORP.
Business Address:
9310 NE VANCOUVER MALL DRIVE, SUITE
200
VANCOUVER WA 98662
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
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http: / /www.secretary. state. nc. us / corporations /corp.aspx ?Pitemid = 9070529 6/6/2014

C201315500060
SOSID: 1087296
Date Filed: 6/7/2013 1:45:00 PM
Elaine F. Marshall
2 0 1 4 0 5 7 5 State of North Carolina North Carolina Secretary of State
Department of the Secretary of State C201315500060
APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY
FOR LIMITED LIABILITY COMPANY
Pursuant to §57C -7 -05 of the General Statutes of North Carolina, the undersigned limited liability company hereby applies for an
Amended Certificate of Authority to transact business in the State of North Carolina, and for that purpose submits the following
statement.
The name of the limited liability company is: 427 DAVIDSON LLC
2. The name the limited liability company is currently using in the State of North Carolina is:
427 DAVIDSON LLC
3. The state or country of formation is: WASHINGTON
4. The date the limited liability company was authorized to transact business in the State of North Carolina is:
MARCH 6, 2009
5. The changes being made are as follows:
The name of the limited liability company is changed to: Davidson Retirement Residence LLC
6. Attached is a certificate of existence (or document of similar import), duly authenticated by the Secretary of State or other official
having custody of limited liability company records in the state or country of formation. The certificate of existence must be less
than six months old. A photocopy of the certification cannot be accepted.
7. This application will be effective upon filing, unless a date and/or time is specified:
This the 24th day of MAY , 20 13
427 DAVIDSON LLC
Na of Li it ability Company
Signature
Barton G. Colson, President of I Hawthorn Management
Type or Print Name and Title
Services Corp., Manager
Notes:
1. Filing fee is $50. This application must be filed with the Secretary of State.
CORPORATIONS DIVISION
(Revised January 2002)
NCO39 - 17/15 /2004 C T System Online
P. 0. BOX 29622
RALEIGH, NC 27626 -0622
(Form L -!0)

C201315500060
Date: May 28, 2013
STATE
Given under my hand and the Seal of the State
of Washington at Olympia, the State Capital
O
v�
d
At� Kim Wyman, Secretary of State
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