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DocuSign Envelope ID:07A4359F-6D47-4987-B1F1-BF667ACBB3BA <br /> Ul <br /> BUSINESS CORPORATION ANNUAL REPORT <br /> NAME OF BUSINESS CORPORATION: MOFFAT PIPE INC. <br /> 0522022 Filing Office Use Only <br /> SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: NC E-Filed Annual Report <br /> 0522022 <br /> REPORT FOR THE FISCAL YEAR END: 12/31/2022 CA202303300799 <br /> 2/2/2023 10:45 <br /> SECTION A: REGISTERED AGENT'S INFORMATION ❑X Changes <br /> 1. NAME OF REGISTERED AGENT: Moffat, Andrea L. <br /> 2.SIGNATURE OF THE NEW REGISTERED AGENT: <br /> SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT <br /> 3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS <br /> 701 Finger Lakes Drive 701 Finger Lakes Drive <br /> Wake Forest, NC 27587 Wake County Wake Forest, NC 27587 <br /> SECTION B: PRINCIPAL OFFICE INFORMATION <br /> 1. DESCRIPTION OF NATURE OF BUSINESS: Construction <br /> 2. PRINCIPAL OFFICE PHONE NUMBER: (919) 295-4630 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction <br /> 4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS <br /> 701 Finger Lakes Drive 701 Finger Lakes Drive <br /> Wake Forest,NC 27587 Wake Forest, NC 27587 <br /> 6.Select one of the following if applicable. (Optional see instructions) <br /> ❑ The company is a veteran-owned small business <br /> The company is a service-disabled veteran-owned small business <br /> SECTION C:OFFICERS(Enter additional officers in Section E.) <br /> NAME: Andrea L Moffat NAME: Craig T Moffat NAME: Keith E. Moffat <br /> TITLE: President TITLE: Vice President TITLE: Secretary <br /> ADDRESS: ADDRESS: ADDRESS: <br /> 2801 Moffat Terrace 2808 Moffat Terrace 2801 Moffat Terrace <br /> Wake Forest, NC 27587 Wake Forest, NC 27587 Wake Forest, NC 27587 <br /> SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business <br /> en Andrea L Moffat 2/2/2023 <br /> SIGNATURE DATE <br /> Form must be signed by an officer listed under Section C of this form. <br /> Andrea L Moffat President <br /> Print or Type Name of Officer Print or Type Title of Officer <br /> MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525 <br />