Free Form - Nevada

ROSS MILLER Secretary of State 204 North Carson Street, Suite 4 Carson City, Nevada 89701-4520 (775) 684 5708 Website: www.nvsos.gov

Application for Registration of Foreign Limited-Liability Company
(PURSUANT TO NRS 86.544)
USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY

1. Name of Foreign Limited-Liability Company: 2. Name Being Registered with Nevada: (see
instructions)

Check box if a Series LimitedLiability Company

The name under which this foreign limited-liability company proposes to register and transact business in Nevada is:

3. Entity Domicile:
(date and state or country of formation)

Date Formed Commercial Registered Agent:
Name

State or Country of Formation

4. Registered Agent for Service of Process: (check
only one box)

Noncommercial Registered Agent (name and address below)

OR

Office or Position with Entity
(name and address below)

Name of Noncommercial Registered Agent OR Name of Title of Office or Other Position with Entity

Nevada
Street Address City Zip Code

Nevada
Mailing Address (if different from street address) City Zip Code In the event the above-designated Agent for Service of Process resigns and is not replaced or the agent's authority has been revoked or the agent cannot be found or served with exercise of reasonable diligence, then the Secretary of State is hereby appointed as the Agent for Service of Process.

5. Records Office:
(see instructions) Street Address City State Zip Code

6. Street Address of Principal Office: (or
office required to be maintained in the domicile state by the laws of that state) Street Address City State Zip Code

7. Name and Address of each Manager or Member: (attach
additional page if more than 1)

Name

Street Address

City

State

Zip Code

8. Name and Signature of Manager or Member: 9. Certificate of Acceptance of Appointment of Registered Agent:

X
Name Authorized Signature

I hereby accept appointment as Registered Agent for the above named Entity.

X
Authorized Signature of Registered Agent or On Behalf of Registered Agent Entity Date

This form must be accompanied by appropriate fees.

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Nevada Secretary of State NRS 86.544 FLLC Articles Revised: 4-14-09