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                                                                       Application for Authority to Transact Business - Business/Professional 
                      Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 – sos.oregon.gov/business - Phone: (503) 986-2200 
                      Check the appropriate box below: 
                           FOREIGN BUSINESS CORPORATION 
                      (Complete only 1, 2, 3, 4, 5, 6, 7, 8, 9, 11) 
                           FOREIGN PROFESSIONAL CORPORATION 
                      (Complete all items) 
REGISTRY NUMBER:  
                           For office use only 
In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record. 
W e must release this information to all parties upon request and it will be posted on our website.                                                                    For office use only 
Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary. 
1)  NAME OF CORPORATION         :
    NOTE: Must be identical to the name of record in home jurisdiction.

2)  REGISTRYNUMBER IN HOME  URISDICTIONJ                                                      8)  ADDRESS FORMAILING NOTICES             :
    OR:       CERTIFICATE OF EXISTENCE                (ATTACHED)
    (Please provide a web-verifiable registry number from the entity’s home 
    jurisdiction. Certain states, such as Delaware and New Jersey, do not provide
    status information online. Entities from such places must instead attach an 
    official certificate of existence, current within 60 days of delivery to this office.)
3)  DATE OF INCORPORATION        :            DURATION   ,IF NOT  ERPETUALP               :   9)  NAME AND ADDRESS OF  RESIDENTP                AND  ECRETARYS        : 
                                                                                                  President: 
4)  STATE OR COUNTRY OF  RGANIZATIONO           :                                                 Address: 

5)  ADDRESS OF PRINCIPAL  FFICEO     OF THE  USINESSB        :
    (Address, city, state, zip)                                                                   Secretary: 
                                                                                                  Address: 

6)  NAME OF OREGON  EGISTERED R       GENTA     :
                                                                                                                       PROFESSIONALCORPORATION ONLY
7)  REGISTERED AGENT S ' PUBLICLY  VAILABLE A     DDRESSA           : (Must be 
    anOregon Street Address which is identical to the registered agent’s                      10) PROFESSIONAL/BUSINESSS                 ERVICES:(List professional service(s) and           other 
    business office.)                                                                             business services, if applicable, to be rendered.)

11) EXECUTION: (Must be signed by at least one authorized signer.)
    I declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, fraudulently obscure,
    fraudulently alter or otherwise misrepresent the identity of the person or any officers, directors, employees or agents of the corporation.
    This filing has b een examined by me and is, to the best of my knowledge and belief true, correct, and complete. Making false statements
    in this document is against the law and may be penalized by fines, imprisonment or both.
    Signature:                                                      Printed Name:                                                        Title:

CONTACT NAME   :(To resolve questions with this filing.)                                            FEES 
                                                                                                    Required Processing Fee      $275 
PHONE NUMBER   :(Please include area code.)                                                         ProcessingFees are nonrefundable.    Please make check payable to “CorporationDivision.” 
                                                                                                    Free copies are available at sos.oregon.gov/business, using the Business Name Search program. 

   50 - Application for Authority to Transact Business - Business Professional (11/17) 






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