2015 Profit Corporation Annual Report
Due on or Before: October 1, 2015 For Office Use Only
ID: 2012-000631222 Wyoming Secretary of State
200 West 24th Street, Cheyenne, WY 82002-0200
State of Formation: Wyoming ea
License Tax Paid: $50.00
aie ataiioe https://wyobiz. wy gov/Business/AnnualReport.aspx
Rafarma Pharmaceuticals, Inc. ‘Current Registered Agent:
Melodie A Hi
1: Mailing Address 1603 Capitol Ave Bsmt
203 South Main Street Cheyenne, WY 82001
Suite 3000
Sheridan, Wyoming 82801
+ Please review the current Registered Agent
information and, ifit needs to be changed or updated,
2: Principal Office Address complete the appropriate Statement of Change form
203 South Main Street available from the Secretary of State's website at
Suite 3000 hitpv//soswy.state.wy.us
Sheridan, Wyoming 82801
Phone: (307) 920-0161
3: Officers and Directors
President / Director Bruno Hom - 203 S. Main St. #3000, Sheridan, WY 82801
Vice President David Jones - 203 S. Main St. #3000, Sheridan, WY 82801
| hereby certify under the penalty of perury thatthe information | am submitting is true and correct to the best of my knowledge.
Billy Stephen Bailley Billy Stephen Bailley December 2, 2014
Signature of Treasurer or Fiscal Agent Printed Name of Treasurer or Fiscal Agent Date
The fee is $50 or two-tenths of one mill on the dollar ($.0002), whichever is greater.
Instructions:
1. Complete the required worksheet.
2. Sign and date this form and retum it to the Secretary of State at the address provided above,