Carson City legal - 21660

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ANNUAL

STATEMENT OF THE

Church & Casualty

Insurance Agency, Inc.

For The Year Ending

12/31/2021

Location of Principal

Office: 3440 Irvine

Avenue, Suite 150,

Newport Beach, CA

92660

Location or locations

of business in Nevada:

810 South Durango,

Suite 110, Las Vegas,

NV 89145

Church & Casualty

Insurance Agency, Inc.

did conduct business

in the State of Nevada

during the calendar

year 2021

I, Ashely Bolduc, Attorney,

do hereby certify

that the foregoing is

a true and accurate

statement of the

business transacted by

said corporation during

2021

/s/ Ashely Bolduc

DATE: January 28,

2022

Pub date: February

23, 26, 2022

Ad # 21660

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