Secretary of State Statement of Information 29, (Limited Liaiity Company) °F, LLc-12 IMPORTANT — Read instructions before completing this form. - $20.00 Fling Fe Copy Fees ~ Face Page $1.00 & .50 for each attachment page: Certification Fee - $5.00 16-763526 Secretary of State State of Catifomia SEP 09 2016 | 2heelzeleelveswane (i Gimited Uabilly Company Name LEGACY BOTANICAL COMPANY, LLC 2, 12-Digit Secretary of State File Number 201605310106 “State oF Place of Organization (ony farmed outside “4 Business Addresses 1 Sheet stress of Pn Otion- Gort et POBox Carre seers) Zpcaie 8551 Folsom Blvd,, Suite A \Sacramento cA | 95826 alg A655 of LG, diferent than Tom da ‘iyo ateevars) Tia | zincose © Graal idee of Caloria en tan fa rot Caloris BaralmsaPO Gor | Civ rwatmevators) ee Ysa | zpcoae cA 5 Managers} or Members) Sirona hams fo Se fear at T ne managers have boon oppained 6 eels, pravde We nav ae AGGRO] Gach member. ATTEGR che came aad adaese raul compat tng 5a ate ave em Sank yt) note" Luc cant sare aa svn manage” or mame, 2 LLC Mat The managenmamber an ert rst be he ith te Calo Sc etary Sate a lm mu SSG crc Br aio Sn SS a Ceres nae — oa = Andrey Kukushkin ee) a Se 1983 17th Ave = ___|San Francisco - cA ee err re ee ere mere ete care tease rat engines pu enon be comgletes ave len 63. HK) 1 Cale Agate Fem Nave (ape nota operon) oe Have ae Nae | sa |_Brad erate Hirsch Sires aes (agar @ not acaraton)-Bo not lst a PO, Bow iy po abeasiars) Bae | apco%e 1013 Galleria Bivd., Suite 290 Roseville, CA cA _| 95678 "Cairo Rapier Corrs Agar Nar (agente expo) — Gana coals am Sa ore T._Type of Business 1 Deseo eye of ane or enc oth red Lay Gey ‘Management and Consulting 8. Chiet Executive Officer, if elected or appointed Not Applicable i " ” ® eee Gey poate ate) ae | Beco 9, The Information contained herein, including any attachments, is true July 25, 2016 Garib Karapetyan ‘and correct. Member EK gl) Siice & Return Address (Optional) (For communication rom th Secretary ot Sate relatos fo his docuren, a purchasing a copy of te lad aooumant ener tne ame ot @ Berson or company and te mang adress. Ths nora wil become pubic wren flee) SEE NSTRUCTIONS BEFORE CCHPLETING } Nome: ‘Company: Aes: Ciystatezp—L. 1 Lwc-t2 REV 0772016) Yao 2016 Catforia Sacro of State wn 305 cagovbushessbeAttachment to Statement of Information (Limited Liability Company) LLC-12A Attachment ‘A. Limited Liability Company Name LEGACY BOTANICAL COMPANY, LLC 16-763526 This Space For Office Use Only B. 42.Digit Secretary of State File Number 201605310106 G. State or Place of Organization (only f formed outside of California) 1 D. List of Adaitional Managerts) or Members) - If the managerimember fs an individual, enter the indivi manegevimember' an enti, enter the entiy’s name and address. Note. The LUC cannot serve as its own manager or member F's name and adress, If the _ Fao GIT Be Tctare Toate ua ‘Garb | Karapetyan | Be Ey hare =n anaes ‘8551 Folsom Blvd. Suite A Sacramento ca_| 95826 Te. Fis Nave Dore corse em ‘waa Kove Toatnare T eat ‘andrey z un Muraview ! 2, my Nae —Da teams fond oaecron Cay raeesevstere) Bae] Zecom 8551 Folsom Bivd., Suite A Sacramento ca_|9sa26 Te Panthers =Doroleanpate na These nae Tanne om We Eni ane “Batelco hon te hae Cir rm aboaers ae] Brom Se Faas Do Tap ashame Taare | oa [Gray nares Done corpew ena = ie ey See Bom Ge Fears boca rae Taanare Taner =] Ey ane Donatconaae rene we Rae ry See | Become | | Ta aa nan bora eT Tain ane Toner oe] To Gry Nao cones Ta Paro 7 iy comer) oe | apo Ge Fone Dora emp en Wrenn Taare w are Tay poe Soe | Become J Luc-12a. Attachment est 07/2016) 22 2018 Calera Seva of Sao wn sos cagowoasnassoe