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Extract to table / certificate-of-formation-qrh.docx

certificate-of-formation-qrh.docx · 1025-00007

Parties

OF QUORUM RECEIVABLES HOLDING LLC

Quorum Receivables Holding LLC

Ashgrove Services Inc

Dates

August 3, 2022

Amounts

—

Obligations

1209 Orange Street Wilmington, New Castle County, Delaware 19801 ARTICLE III — AUTHORIZED PERSON The name and address of the authorized person executing this Certificate of Formation are as follows: Sandra Ling-Hwang Authorized Person 400 Atlantic Street, Suite 2200 Stamford, Connecticut 06901 ARTICLE IV — EFFECTIVE DATE This Certificate of Formation shall be effective upon its filing with the Secretary of State of the State of Delaware