CSCL/CD-760 (Rev. 05/21 )

       MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
            CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU
Date Received                                               (FOR BUREAU USE ONLY)
                             AC1

                             This document is effective on the date filed, unless a
                             subsequent effective date within 90 days after received
                             date is stated in the document.
Name

Address

City                                State                                     ZIP Code
                                                                                      EFFECTIVE DATE:
       Document will be returned to the name and address you enter above.
            If left blank, document will be returned to the registered office.

                         APPLICATION FOR CERTIFICATE OF AUTHORITY
                             TO TRANSACT BUSINESS IN MICHIGAN
                             For use by Foreign Limited Liability Companies
                             (Please read information and instruction on last page)

            Pursuant to the provisions of Act 23, Public Acts of 1993, the undersigned execute the following Application:

1. The name of the limited liability company is:

2. (Complete this item only if the limited liability company name in Item 1 is not available for use in Michigan.)
The assumed name of the limited liability company to be used in all its dealings with the Bureau and in the transaction of
its business in Michigan is:

3. It is organized under the laws of

The date of its organization is

The duration of the limited liability company if other than perpetual is

4. The address of the office required to be maintained in the state of organization or, if not so required, the principal office
of the limited liability company is:

            (Street Address)                    (City)                                (State)                     (ZIP Code)

5. a.  The street address of its registered office in Michigan is:

                                                                         , Michigan
(Street Address)                                       (City)                                                 (ZIP Code)

b. The mailing address of the registered office, if different than above:

                                                                         , Michigan
(Street Address or P.O. Box)                           (City)                                                 (ZIP Code)

c. The name of the resident agent at the registered office is:

6. The Department is appointed the agent of the foreign limited liability company for service of process if no agent has been
appointed, or if appointed, the agent's authority has been revoked, the agent has resigned, or the agent cannot be found
or served through the exercise of reasonable diligence.

The name and address of a member or manager or other person to whom the administrator is to send copies of any
process served on the administrator is:  (Must be different than agent shown in Item 5c)

(Name)

(Street Address)                         (City)                          (State)                              (ZIP Code)

7. The specific business which the limited liability company is to transact in Michigan is as follows:

The limited liability company is authorized to transact such business in the jurisdiction of its organization.

      Signed this                        day of                                  ,

      By
                                                       (Signature)

                 (Type or Print Name)                                    (Type or Print Title)

CSCL/CD-760 (Rev. 05/21)

Preparer's Name 

Business telephone number (            ) 

                                               INFORMATION AND INSTRUCTIONS
1.  This Application for Certificate of Authority must be used to obtain a Certificate of Authority to Transact Business in Michigan.
    A document required or permitted to be filed under the act cannot be filed unless it contains the minimum information required
    by the act.  This is a legal document and agency staff cannot provide legal advice.
2.  Submit one original of this document.  Upon filing, the document will be added to the records of the Corporations, Securities & 
    Commercial Licensing Bureau.  The original will be returned to your registered office address, unless you enter a different address in 
    the box on the front of this document.
    Since this document will be maintained on electronic format, it is important that the filing be legible.  Documents with poor black and 
    white contrast, or otherwise illegible, will be rejected.
3.  This Application is to be used pursuant to the provisions of Article 10 of Act 23, P.A. of 1993, by a foreign limited liability company
    for the purpose of obtaining a Certificate of Authority to Transact Business in this State.  If the foreign limited liability company 
    subsequently changes any of the information set forth in the Application for Certificate of Authority, it must file an Amended Application 
    for Certificate of Authority to Transact Business in Michigan (form CSCL/CD-762) with the Bureau not later than 30 days after the time 
    a change becomes effective.
4.  Item 2 - A foreign limited liability company whose name is not available for use in Michigan is permitted to apply for a Certificate of 
    Authority under an assumed name which is available for use.  The assumed name becomes the limited liability company's name in 
    Michigan to be used in all transactions and in its dealings with the administrator.  Item 2 of the Application for Certificate of Authority                                         to 
    Transact Business in Michigan is to be completed for this purpose only.  Limited liability companies may also transact business under 
    other assumed names by filing separate Certificate of Assumed Name.
5.  Item 6 - The person must be different than agent shown in Item 5(c).

6.  Item 7 - This item should state only the specific business to be transacted in Michigan.  An all purpose activities statement is not 
    permitted.
7.  The Application must be signed by a person with authority to sign as provided in the laws of the jurisdiction of its organization.
8.  Attach to this Application a certificate executed by the official of the jurisdiction having custody of limited liability company records 
    stating that the limited liability company is in good standing under the laws of the jurisdiction of its organization.  The certificate                                             cannot 
    be dated earlier than 30 days prior to the date of receipt in this office.
9.  This document is effective on the date endorsed "Filed" by the Bureau.  A later effective date, no more than 90 days after the date of 
    delivery, may be stated as an additional article.
10. NONREFUNDABLE FEE:  Make remittance payable to the State of Michigan.  Include limited liability company name and identification 
    number on check or money order......................................................................................................................................................$50.00 

    Veterans: Pursuant to MCL 450.5101(9)(10), if a majority of the membership interests in the foreign limited liability company 
    responsible for paying the fee are held by 1 or more veterans who served in the United States Armed Forces, (including the reserve 
    components) who were discharged or released under conditions other than dishonorable, you may obtain further information regarding 
    a fee waiver at www.michigan.gov/corpveteranfeewaivers.
Submit with check or money order by mail:                                     To submit in person:

    Michigan Department of Licensing and Regulatory Affairs                              2501 Woodlake Circle
    Corporations, Securities & Commercial Licensing Bureau                               Okemos, MI
    Corporation sDivision                                                                Telephone:  (517) 241-6470
    P.O. Box 30054 
    Lansing, MI 48909                                                             Fees may be paid by check, money order, VISA,MasterCard                                                      , 
                                                                                  American Express, or Discover when delivered in person to 
                                                                                  our office. 

    COFS (Corporations Online Filing System):
    This document may be completed and submitted online at www.michigan.gov/corpfileonline. 
    Fees may be paid by VISA, MasterCard, Discover, and American Express.
Documents that are endorsed filed are available at www.michigan.gov/corpentitysearch.  If the submitted document is not fileable, the 
notice of refusal to file and document will be available at the Rejected Filings Search website at www.michigan.gov/corprejectedsearch. 
                                                  LARA is an equal opportunity employer/program.  
             Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. 

Optional expedited service.
Expedited review and filing, if fileable, is available for all documents for profit corporations, limited
liability companies, limited partnerships and nonprofit corporations.

The nonrefundable expedited service fee is in addition to the regular fees applicable to the specific
document.

Please complete a separate CSCL/CD-272 form for expedited service for each document submitted 
in person or by mail. 

24-hour service - $50 for formation documents and applications for certificate of authority.

24-hour service - $100 for any document concerning an existing entity.

Same day service
           Same day - $100 for formation documents and applications for certificate of
           authority.
           Same day - $200 for any document concerning an existing entity.
      Review completed on day of receipt.  Document and request for same day expedited
      service must be received by 1 p.m. EST OR EDT.

           Two hour - $500
      Review completed within two hours on day of receipt.  Document and request for two hour
      expedited service must be received by 3 p.m. EST OR EDT.

           One hour - $1000
      Review completed within one hour on day of receipt.  Document and request for 1 hour
      expedited service must be received by 4 p.m. EST OR EDT.

Documents submitted by mail are delivered to a remote location for receipts processing and are
then forwarded to the Corporation sDivision for review.  Day of receipt for mailed expedited service
requests is the day the Corporation sDivision receives the request.

Rev. 05/21