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Form 2553(Rev.12-2013) Page 2 <br /> Part I Election Information(continued) Note. If you need more rows, use additional copies of page 2. <br /> K <br /> Shareholder's Consent Statement <br /> Under penalties of perjury,I declare that I <br /> consent to the election of the above-owned <br /> corporation(entity)to be an S corporation under <br /> section 1362(a)and that I have examined tits L <br /> consent statement,Including accompanying Stock owned or <br /> documents,and,to the best of my knowledge and <br /> belief,the election contains ell the relevant facts percentage of ownership <br /> relating to the election,and such facts are true, (see instructions) <br /> correct,and complete.i understand my consent is <br /> binding and may not be withdrawn alter the <br /> corporation(entity)has made a valid election.If <br /> seeking relies for a bin fled election, t 1 <br /> I also declare under penalties of pry that <br /> I have reported my Income on at affected retums Social security <br /> consistent with the S corporation election for the number or N <br /> Name and address of each year for which the election should have been fled Number of employer Shareholders <br /> shareholder or former shareholder (see begming date entered on line q end for ell shares or identification tax year ends <br /> required to consent to the election. subsequent years. percentage Date(s) number(see (month and <br /> (see instructions) Signature Date of ownership acquired instructions) day) <br /> Jose Manuel Lorenzo <br /> 8140 SW 24TH PL <br /> Miramar,FL 33025 100% 9/28115 403-53-8692 12/31 <br /> • <br /> Form 2553(Rev.12-2013) <br />