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HomeMy WebLinkAbout1.12 Statement of AuthorityStatement of Authority STATEMENT OF AUTHORITY Pursuant to C.R.S. §38-30-172, the undersigned executes this Statement of Authority on behalf of Spring Valley Holdings, a limited liability company (corporation, limited liability company, general partnership, registered limited liability partnership, registered limited liability limited partnership, limited partnership association, government agency, trust or other), an entity other than an individual, capable of holding title to real property (the "Entity"), and states as follows: The name of the Entity is Spring Valley Holdings, LLC and is formed under the laws of ' e_1CAN re. The mailing address for the Entity is PO Box 1146, Glenwood Springs, CO 81601 The name and/or position of the person authorized to execute instruments conveying, encumbering, or otherwise affecting title to real property on behalf of the Entity is Daniel J. Goldberg The limitations upon the authority of the person named above or holding the position described above to bind the Entity are as follows: None (if no limitations, insert "None") Other matters concerning the manner in which the Entity deals with any interest in real property are: (if no other matter, leave this section blank) EXECUTED this day of STATE OF Signature: Name(typed or printed: Title (if any) : Authorized Representitive , 20 Daniel J. Goldberg )SS. COUNTY OF The foregoing instrument was acknowledg efore me this , 20 by Witness my hand and My commis 05/09 [SEAL] day of , on behalf of (Notary Public) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT Ykt•C's.nkt:17 oce. f'.i C.4-,rescsr47.•a `,, lerr:,cr.;l c t'.ccc:c^.e:A,mc:Ocrc;(.crc° ". .— c, a N�crc:4cpce ...cC. ttottc .. I State of California County of akin 1 r O fliii UC.O On Date personally appeared 1 before me, 1'1,-6614).11 H S1 I I U-- Here InsertName anA of the Ili er (0CL Names) o1 Signer(s) %1L KAREN M. SITTON Commission 8 1901348 L Notary Public - California 2 Z� San Francisco County Comm Expires Aug 26 2014 Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aye subscribed to the within instrument and acknowledged to me that he/skre/y executed the same in his/het/their authorized capacity(+est, and that by his/her/their signature() on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal Signature: OPTIONAL Signature of Notary Public Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: • Corporate Officer — Title(s): Individual O Partner — Limited 7 General ❑ Attorney in Fact ❑ Trustee • Guardian or Conservator Li Other: Signer Is Representing: RIGHT THUi OF SIG PRINT R Top of thumb here Corporate Officer — Title(s): Individual 1 Partner — Limited General Attorney in Fact Trustee Guardian or Conservator Other: Signer Is Representing: RIGHT THUMBPRINT OF SIGNER Top of thumb here © 2009 National Notary Associalion • NationalNolary.org • t -800 -US NOTARY (1-800-876.6827) nem a rjor