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HomeMy WebLinkAboutContract 58070-NM1CSC No. 58070-NM1 Memorandum Date: 6/29/2023 To: Assistant City Attorney From: Tracy Walter — FMSNendor Management Re: Name Change Only: Sun Coast Resources, Inc. to Sun Coast Resources, LLC Prior Name: Sun Coast Resources, Inc New Name: Sun Coast Resources, LLC Supplier id: 7000002585 Note: Supplier updated name only and the tax id (EIN) number remained the same. APPROVED BY:4-4P"+-, Assistant City Attorney APPROVAL DATE: Jun 29, 2023 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX ©sun Coast RESOURCES, LLC Quality Fuels & Lubricants. eRe1aQynPcotnpwy Notice of Name Change Dear sir or madam, Please be advised that Sun Coast Resources, Inc. is now Sun Coast Resources, LLC. We're still the same great company with the same great service. Please update your records with our new name, so that it may be properly reflected on accounts, purchase orders, work orders, and other documents. Our contact information, EIN, and other identifying information remains unchanged. Feel free to reach out to your salesperson or other regular contact, for any additional information that you may need. Best regards, Jason Hanke Senior Counsel OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 6405 Cavalcade Street • Building 1 • Houston, Texas 77026 • 800-677-FUEL (3835) • 713-844-9600 www.suncoastresources.com Form Request for Taxpayer Give Form to the (Rev. October2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service ► Go to www.irs.gov/FormW9 for instructions and the latest information. f Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Sun Coast Resources, LLC 2 Business name/disregarded entity name, if different from above M �p 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the Y 4 Exemptions codes apply only to P� ( PP Y Y ca following seven boxes. certain entities, not individuals; see a instructions on page 3): o ❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate c single -member LLC Exempt payee code (if any) 0 ✓❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► C p Note; Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting * w LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is code if an ) ( Y another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that a o 4= is disregarded from the owner should check the appropriate box for the tax classification of Its owner. o N Other (see instructions) ► (Ma Des to accounts maintained outside the U.S.) N 5 Address (number, street, and apt, or suite no.) See instructions. Requester's name and address (optional) P.O. Box 735606 to 6 City, state, and ZIP code Dallas, TX 75373-5606 T List account number(s) here (optional) ak-jM Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part 1, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification number Number To Give the Requester for guidelines on whose number to enter. 7 b-I0I1I4I3I4I8I3 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S, person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secur�j d property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and divi nds,�dy are notrequired to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sign Signature of / Here I U.S. person ► Date ► General Instructions • Form 1099-DIV (dividends, including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) Filing#:74985200 Document#:1228503410002 Filed On 3/10/2023 received by Upload Form 632 (Revised 05/11) Return in duplicate to: Secretary of State P.Q. Box 13697 Austin, TX 78711-3697 512 463-5555 FAX: 512 463-5709 Filing Fee: See instructions Certificate of Conversion of a Corporation Converting to a Limited Liability Company Converting Entity Information This space reserved for office use. The name of the converting corporation is: Sun Coast Resources, Inc. The jurisdiction of formation of the corporation is: Texas The date of formation of the corporation is: April 29, 1985 The file number, if any, issued to the corporation by the secretary of state, is: 74985200 Plan of Conversion —Alternative Statements The corporation named above is converting to a limited liability company. The name of the limited liability company is: Sun Coast Resources, LLC The limited liability company will be formed under the laws of : Texas ❑ The plan of conversion is attached. If the plan of conversion is not attached, the following statements must be completed ❑ Instead of attaching the plan of conversion, the corporation certifies to the following statements: A signed plan of conversion is on file at the principal place of business of the corporation, the converting entity. The address of the principal place of business of the corporation is: Street or Mailing Address City State Country Zip Cade A signed plan of conversion will be on file after the conversion at the principal place of business of the limited liability company, the converted entity. The address of the principal place of business of the limited liability company is: Street or Mailing Address City State Country Zip Code A copy of the plan of conversion will be furnished on written request without cost by the converting entity before the conversion or by the converted entity after the conversion to any owner or member of the converting or converted entity. Form 632 4 DocuSign Envelope ID: EDC06547-6DA4-41 D5-98DA-6D6F977B5AB8 Certificate of Formation for the Converted Entity 0 The converted entity is a Texas limited liability company. The certificate of formation of the Texas limited liability company is attached to this certificate either as an attachment or exhibit to the plan of conversion, or as an attachment or exhibit to this certificate of conversion if the plan has not been attached to the certificate of conversion. Approval of the Plan of Conversion The plan of conversion has been approved as required by the laws of the jurisdiction of formation and the governing documents of the converting entity. Effectiveness of Filing (Select either A, B, or C.) A. 0 This document becomes effective when the document is accepted and filed by the secretary of state. B. ❑ This document becomes effective at a later date, which is not more than ninety (90) days from the date of signing. The delayed effective date is: C. ❑ This document takes effect upon the occurrence of the future event or fact, other than the passage of time. The 901h day after the date of signing is: The following event or fact will cause the document to take effect in the manner described below: Tax Certificate ❑ Attached hereto is a certificate from the comptroller of public accounts that all taxes under title 2, Tax Code, have been paid by the corporation. 0 In lieu of providing the tax certificate, the limited liability company as the converted entity is liable for the payment of any franchise taxes. Execution The undersigned signs this document subject to the penalties imposed by law for the submission of a materially false or fraudulent instrument. Date: March 10, 2023 Docu8ipned byMV Kathy E. Lehne, Chief Executive Officer Signature and title of authorized person on behalf of the converting entity Form 632 PLAN OF CONVERSION FOR SUN COAST RESOURCES, INC. (A Texas corporation) March 10, 2023 This Plan of Conversion is being adopted by Sun Coast Resources, Inc., a Texas corporation (the "Converting Entity"), in accordance with the provisions of Section 10.101 of the Texas Business Organizations Code (the "TBOC"), for the purpose of converting the Converting Entity to a Texas limited liability company (the "Conversion"). 1. The name of the converting entity is Sun Coast Resources, Inc. 2. The name of the converted entity is Sun Coast Resources, LLC, which will be a Texas limited liability company (the "Converted Entity"). 3. The Converting Entity will continue its existence as the Converted Entity. 4. The Converted Entity will be a limited liability company formed under the laws of the State of Texas. 5. On the Effective Date, one hundred percent (100%) of the outstanding capital stock of the Converting Entity will be exchanged for one hundred percent (100%) of the membership interests of the Converted Entity. b. The current officers of the Converting Entity will be the officers of the Converted Entity. 7. There are no terms and conditions of the proposed Conversion other than the terms and conditions contained in this Plan of Conversion. S. A copy of the Certificate of Formation of the Converted Entity is attached hereto as Exhibit A and shall be the Certificate of Formation of the Converted Entity on the Effective Date. 9. The Conversion has been duly authorized and approved by the sole shareholder of the Converting Entity in accordance with Section 10.101 of the TBOC. 10. The Conversion will be effective upon the filing of the Certificate of Conversion and Certificate of Formation of the Converted Entity with the Secretary of State of the State of Texas or such other date as may be set forth in the Certificate of Conversion (the "Effective Date"). [Signature Page Follows] DocuSign Envelope ID: EDC06547-6DA4-41 D5-98DA-6D6F977B5AB8 IN WITNESS WHEREOF, the undersigned sole shareholder of the Converting Entity has executed this Plan of Conversion as of the date first written above. SCRI HOLDINGS, INC. Oo=S,i,n,'d bry: y —a r »��a ... Name: Kathy E. Lehne Title: Chief Executive Officer [Signature Page to Plan of Conversion of Sun Coast Resources, Inc.] EXHIBIT A Certificate of Formation Form 205 (Revised 12121) Submit in duplicate to: Secretary of State P.O. Box 13697 Austin, TX 78711-3697 512 463-5555 Filing Fee: $300 Certificate of Formation Limited Liability Company Article 1— Entity Name and Type This space reserved for office use. The filing entity being formed is a limited liability company. The name of the entity is: Sun Coast Resources, LLC The name must contain the words "limited liability company," "limited company," or an abbreviation of one of these phrases. Article 2 — Registered Agent and Registered Office (See instructions. Select and complete either A or B and complete C.) ❑ A. The initial registered agent is an organization (cannot be entity named above) by the name of: OR W1 B. The initial registered agent is an individual resident of the state whose name is set forth below: Kathy First Name E. Lehne M.I. Last Name C. The business address of the registered agent and the registered office address is: Suffix 6405 Cavalcade St, Building 1 Houston TX 77026 StreetAddress City State Zip Code Article 3--Governing Authority (Select and complete either A or B and provide the name and address of each initial governing person,) ❑ A. The limited liability company initially has managers. The name and address of each initial manager are set forth below. ❑J B. The limited liability company does not initially have managers. The name and address of each initial member are set forth below. INITIAL GOVERNING PERSON 1 NAME (Enter the name of either an individual or an organization, but not both.) IF INDIVIDUAL First Name M.I, Last Name Su,Qix OR IF ORGANIZATION SCRI Holdings, Inc. Organization Name ADDRESS 4825 E. Hwy 71 Llano TX USA 78643 Street or Mailing Address City State Country Zip Code Form 205 1 INITIAL GOVERNING PERSON 2 NAME (Enter the name of either an individual or an organization, but not both.) IF INDIVIDUAL First Name OR IF ORGANIZATION Organization Name ADDRESS Street or Mailing Address M.I. Last Name City INITIAL GOVERNING PERSON 3 NAME (Enter the name of either an individual or an organization, but not both.) IF INDIVIDUAL First Name OR IF ORGANIZATION Organization Name ADDRESS Street or Mailing Address ML Last Name City Article 4 — Purpose SuYIx State Country Zip Code SUYIX State Country Zip Code The purpose for which the company is formed is for the transaction of any and all lawful purposes for which a limited liability company may be organized under the Texas Business Organizations Code. Initial Mailing Address (Provide the mailing address to which state franchise tax correspondence should be sent.) 6405 Cavalcade St, Building 1 Houston TX 77026 USA Mailing Address City State Zip Code Country Supplemental Provisions/Information Text Area: [The attached addendum, if any, is incorporated herein by reference.] Sun Coast Resources, LLC, a Texas limited liability company, is being formed pursuant to a plan of conversion approved as required by the laws of the jurisdiction of formation and the governing documents of the converting entity, from Sun Coast Resources, Inc, a Texas corporation, with address at 6405 Cavalcade St, Building 1, Houston, TX 77026, formed on April 29, 1985 in the state of Texas. Form 205 2 DocuSign Envelope ID: EDC06547-6DA4-41 D5-98DA-6D6F977B5AB8 Organizer The name and address of the organizer: Kathy E. Lehne Name 6405 Cavalcade St, Building 1 Houston TX 77026 Street or Mailing Address City State Zip Code Effectiveness of Filing (select either A, B, or C.) A.❑ This document becomes effective when the document is filed by the secretary of state. B. ❑ This document becomes effective at a later date, or a later date and time, not more than 90 days from the date of signing. The later effective date, or date and time is: C. ❑ This document takes effect upon the occurrence of the future event or fact, other than the passage of time. The 90' day after the date of signing is: The following event or fact will cause the document to take effect in the manner described below: Execution The undersigned affirms that the person designated as registered agent has consented to the appointment. The undersigned also affirms that, to the best knowledge of the undersigned, the name provided as the name of the filing entity does not falsely imply an affiliation with a governmental entity. The undersigned signs this document subject to the penalties imposed by law for the submission of a materially false or fraudulent instrument and certifies under penalty of perjury that the undersigned is authorized to execute the filing instrument. Date: 3/10/2023 �Oacu8ipnred+6y: �ignafure`a�Qr'gaiiixer Kathy E. Lehne Printed or typed name of organizer Form 205