This space reserved for office use.
Form 205
(Revised 12/21) Filed in the Office of the
Secretary of State of Texas
Filing #892279169
Filing #892279164 02/11/2025
11/13/2024
Submit in duplicate to: Document #80989922009
Document #80989922003
Secretary of State Image Generated Electronically
P.O. Box 13697 Certificate of Formation for Web Filing
Austin, TX 78711-3697 Limited Liability Company
512 463-5555
Filing Fee: $300
Article 1 – Entity Name and Type
The filing entity being formed is a limited liability company. The name of the entity is:
Dales
Polo Hardware
Eye Gear 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
B. The initial registered agent is an individual resident of the state whose name is set forth below:
Dale Garcia Jr
First Name M.I. Last Name Suffix
C. The business address of the registered agent and the registered office address is:
2008 Sam Houston Dr Apt 2111 Victoria TX 77901
Street Address 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.
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
Gil Delossantos
First Name M.I. Last Name Suffix
OR
IF ORGANIZATION
Organization Name
ADDRESS
1602 E Anaqua Victoria TX USA 77901
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
Mark Avila
First Name M.I. Last Name Suffix
OR
IF ORGANIZATION
Organization Name
ADDRESS
702 Salem Rd Apt 320 Victoria TX USA 77904
Street or Mailing Address City State Country Zip Code
INITIAL GOVERNING PERSON 3
NAME (Enter the name of either an individual or an organization, but not both.)
IF INDIVIDUAL
First Name M.I. Last Name Suffix
OR
IF ORGANIZATION
Organization Name
ADDRESS
Street or Mailing Address City State Country Zip Code
Article 4 – Purpose
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.)
2008 Sam Houston Dr Apt 2111 Victoria TX 77901 USA
Mailing Address City State Zip Code Country
Supplemental Provisions/Information
Text Area: [The attached addendum, if any, is incorporated herein by reference.]
Form 205 2
Organizer
The name and address of the organizer:
Dale Garcia Jr
Name
2008 Sam Houston Dr Apt 2111 Victoria TX 77901
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 90th 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: 11-11-2024
02/11/2025
Dale Garcia Jr
Signature of organizer
Dale Garcia Jr
Printed or typed name of organizer
Form 205 3
