public RowToken Create( 
   MapMember mapMember,
   Inspector inspector
)

await QueuedTask.Run(() =>
{
  // annoLayer is ~your~ Annotation layer...
  // pnt is ~your~ Annotation geometry ...
  var op = new EditOperation();
  // Use the inspector
  var insp = new Inspector();
  insp.LoadSchema(annoLayer);
  // get the annotation properties from the inspector
  AnnotationProperties annoProperties = insp.GetAnnotationProperties();
  // change the annotation text 
  annoProperties.TextString = DateTime.Now.ToLongTimeString();
  // change font color to green
  annoProperties.Color = ColorFactory.Instance.GreenRGB;
  // change the horizontal alignment
  annoProperties.HorizontalAlignment = HorizontalAlignment.Center;
  annoProperties.Shape = pnt;
  // set the annotation properties back on the inspector
  insp.SetAnnotationProperties(annoProperties);
  // create the annotation
  op.Create(annoLayer, insp); 
  if (!op.IsEmpty)
  {
    var result = op.Execute(); //Execute and ExecuteAsync will return true if the operation was successful and false if not
  }
});