ROSS MILLER Secretary of State 204 North Carson Street, Suite 4 Carson City, Nevada 89701-4520 (775) 684 5708 Website: www.nvsos.gov
Articles of Domestication
(PURSUANT TO NRS 92A.270)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
1. Entity Name and Type of Domestic Entity as set forth in its Constituent Documents: 2. Entity Name Before Filing Articles of Domestication: 3. Date and Jurisdiction of Original Formation: 4. Jurisdiction that Constituted the Principal Place of Business, Central Administration or Equivalent of the Undomesticated Entity Immediately Before Articles of Domestication: 5. Signature of Authorized Representative:
Authorized Signature Date
Filing Fee: $350.00
IMPORTANT: This document must be accompanied by the appropriate constituent document for the type of domestic entity described in article 1 above and the filing fees.
Nevada Secretary of State NRS 92A Domestication Revised: 4-23-09
This form must be accompanied by appropriate fees.