CO Acknowledgment-Corporation 1

State of _____________________

County of ___________________

The foregoing instrument was acknowledged before me this _____ (date) _____ by _____ (name of officer or agent, title of officer or agent) _____ of _____ (name of corporation acknowledging) _____ a ______ (state or place of incorporation) ____ corporation, on behalf of the corporation.

________________________________________________

(signature of person taking acknowledgment)

(title or rank)

(serial number, if any)

No guidelines are available for this form at this time.