SW5221101_Signing Official Title & Position Information_20221117

0 LIMITED LIABILITY COMPANY ANNUAL REPORT
1/s/zozz
NAME OF LIMITED LIABILITY COMPANY: Hurt LLC
SECRETARY OF STATE ID NUMBER: 1490385 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 9099
Filing Office Use Only
E - Filed Annual Report
1490385
CA202210408677
4/14/2022 01:16
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: Hurt, Michael J
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
201 N Winstead Ave
Rocky Mount, NC 27804 Nash County Rocky Mount, NC 27804
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Rawl Pcfnfa
2. PRINCIPAL OFFICE PHONE NUMBER: (252) 714-371 0 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
201 N Winstead Ave, Suite D PO Box 9038
Rocky Mount, NC 27804 Rocky Mount, NC 27804
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: Michael Hurt
TITLE: Member
ADDRESS:
110 Timberlake Dr
Youngsville, NC 27596
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.
Michael Hurt 4/14/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Michael Hurt 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