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Corporate Filings 312 Rosa L. Parks Avenue 6th Floor, William R. Snodgrass Tower Nashville, TN 37243

APPLICATION FOR CERTIFICATE OF AUTHORITY (Limited Liability Company)

To the Secretary of State of the State of Tennessee: Pursuant to the provisions of §48-249-904 of the Tennessee Revised Limited Liability Company Act, the undersigned hereby applies for a certificate of authority to transact business in the State of Tennessee, and for that purpose sets forth: 1. The name of the Limited Liability Company is: If different, the name under which the certificate of authority is to be obtained is:

NOTE: The Secretary of State of the State of Tennessee may not issue a certificate of authority to a foreign Limited Liability Company if its name does not comply with the requirements of § 48-249-106 of the Tennessee Revised Limited Liability Company Act. If obtaining a certificate of authority under an assumed Limited Liability Company name, an application must be filed pursuant to § 48-249-106(d). 2. The state or country under whose law it is formed is: and its date of its formation is: (must be month, day and year)

3. The complete street address (including zip code) of its principal executive office is: Street City/State Zip Code

4. The complete street address (including the county and the zip code) of its registered office in Tennessee: Street City/State County Zip Code

The name of its registered agent at that office is: 5. If the provisions of TCA §48-249-309(i) (relating to foreign series LLCs) apply, then the information required by that section should be attached as part of this document. 6. The number of members at the date of filing if more than six (6): 7. If the limited liability company commenced doing business in Tennessee prior to the approval of this application, the date of commencement (month, day and year) . NOTE: Additional filing fees may apply. See section 48-249-913(d).

NOTE: This application must be accompanied by a certificate of existence or a document of similar import (for example,
a certificate of good standing) duly authenticated by the Secretary of State or other official having custody of the Limited Liability Company records in the state or country under whose law it is organized. The certificate shall not bear a date of more than two (2) months prior to the date the application is filed in this state.

Signature Date Signer's Capacity

Name of Limited Liability Company Signature Name (typed or printed)

SS-4233 (Rev. 02/08)

Filing Fee: $50 per member / minimum fee=$300, maximum fee=$3,000

RDA 2458