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bn (307) 777-7311 1 Filed: 06/24/2014 04:31 PM
Fax (307) 777-5339 AR Number: 02084867
Email: SOSRequest@wyo.qov
‘Amended Annual Report for Changes
In Officers and or Directors
Please note that this form may only be used to amend a previously filed Annual Report.
Name of Entity: [Rafarma Pharmaceuticals, Inc.
p#: [2012-000631222
To amend your annual report and reflect a change in officers and or directors, list the names and addresses of each
individual below.
The names and addresses of its officers and directors:
(ln lieu of listing the officers and directors below, attach a list
Add Delete Office Name and Address
President:
Vice President:
Secretary: Alexander Ageev 49 West 8000 South, Sandy, Utah 84070
Treasurer: Alexander Ageev 49 West 8000 South, Sandy, Utah 64070
Director: _Aexander Ageev 49 West 9600 South, Sandy, Utah 84070
Director. ~Seraey Brusnitsin 49 West 9000 South, Sandy, Utah 84070
Director: “Bruno Hor, clo BrannelfyLaw, PLUG, PO BOX 1632, Draper, UT 64020
Chief Financial Officer: Bruno Hom, clo BrannellyLaw, PLLO, PO BOX 1832, Draper, UT 84020
SISISIST
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Date; [6/11/2014
Signature:
Printed Name: [Jack Brannelly
Title: [Attorney, Rafarma Pharmaceuticals, Inc.
Form may be submitted by:
Fax 307-777-5339
SOSRequest@wyo.gov
Mail-in Refer to address at top of this form.
‘Amended Annual Report Change in Officers/Directors - Revised 05/2012