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Secretary of State LLC-12 <br />Statement of Information <br />(Limited Liability Company) <br />IMPORTANT —Read instructions before completing this form. <br />Filing Fee - $20.00 <br />Copy Fees - First page $1.00; each attachment page $0.50; <br />Certification Fee - $5.00 plus copy fees <br />20-D96541 <br />FILED <br />In the office of the Secretary of State <br />of the State of California <br />SEP 30, 2020 <br />This Space For Office Use <br />(Enter the exact name of the LLC. R you registered in California using an alternate name, see instructions.) <br />SCHOLARSHIP PREP FACILITY HOLDINGS, LLC <br />201935110242 <br />4- Business Addresses <br />CALIFORNIA <br />or <br />(only if formed outside of California) <br />a. Street Address of Principal Office- Do not fist a P.O. Box <br />City (no abbreviations) <br />Slate <br />Zip Code <br />770 The City Or South, Suite 4200 <br />Orange <br />CA <br />92868 <br />b. Mailing Address of LLC, if different than Rem 4a <br />City (no abbreviations) <br />State <br />Zip Code <br />770 The City Dr South, Suite 4200 <br />Orange <br />CA <br />92868 <br />c. Street Address of California Office, R Item 4a is not in California - Do not list a P.O. Box <br />City (no abbreviations) <br />State <br />Zip Code <br />770 The City Dr South, Suite 4200 <br />Orange <br />CA <br />92868 <br />If no managers have been appointed or elected, provide the name and address of each member. At least one name and address <br />5. Manager(s) or Members) must be listed. If the manager/member is an individual, complete Items 5a and 5c (leave Rem 5b blank). Ifthe manager/member is <br />an entity, complete Items 5b and 5c (leave Item 5a blank). Note: The LLC cannot serve as its own manager or member. If the LLC <br />has additional managers/members, enter the name(s) and addresses on Form LLC-12A (see instructions). <br />a. First Name, R an individual - Do not complete Rem 5b <br />Middle Name <br />Last Name <br />Suffer <br />Jason <br />Derrick <br />Watts <br />b. Entity Name - Do not complete Rem 5a <br />c. Address <br />City (no abbreviations) <br />State <br />Zip Code <br />770 The City Dr South, Suite 4200 <br />Orange <br />CA <br />I 92868 <br />6. Service of Process (Must provide either Individual OR Corporation.) <br />INDIVIDUAL -Complete Items 6a and 6b only. Must include agent's full name and California street address. <br />a. California Agents First Name (I agent is not a corporation) <br />Middle Name <br />Last Name <br />Suffix <br />Jason <br />Derrick <br />Watts <br />b. Street Address (R agent is not a co ration) - Do not ender a P.O. Box <br />City (no abbreviations) <br />State <br />Zip Code <br />770 The City Dr. South, Suite 4200 <br />Orange <br />CA <br />I 92868 <br />CORPORATION - Complete Item ec only. Only include the name of the registered agent Corporation. <br />c. California Registered Corporate Agerd's Name (R agent is a corporation) - Do not complete Rem 6a or fib <br />7. Type of Business <br />a. Describe the type of business or services of the Limited Liability Company <br />Charter School <br />8. Chief Executive Officer, if elected or aDDointed <br />a. First Name <br />Middle Name <br />Last Name <br />Sulfiz <br />b. Address <br />City (no abbreviations) <br />I State <br />I Zip Code <br />9. The Information contained herein, including any attachments, is true and correct <br />09/30/2020 Michelle Leigh Anderson Chief of Staff <br />Date Type or Prim Name of Person Completing the Form Title Signature <br />Return Address (Optional) (For communication from the Secretary of State related to this document, or if purchasing a copy of the filed document enter the name of a <br />person or company and the mailing address. This information will become public when filed. SEE INSTRUCTIONS BEFORE COMPLETING.) <br />Name: r 1 <br />Company: <br />Address: <br />City/State/Zip: L <br />J <br />LLC-12 (REV 0112017) Page 1 of 2 2017 CalA0mia Secretary of State <br />www.sos.ca.gov/busines5Jbe <br />