Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442 - 44 32 Corporate Online Services Information: Many corporate filings are available by using CorpOnline Service. Go to CorpOnline site at https://corp online .dcra.dc.gov , create the profile, access the online services main page and proceed. Online filers must pay by using the credit card. District of Columbia Government Corporations Division Transfer of Registration for Foreign Filing Entity . Form F N - 5 , Ver. 3 , April 2018 . Use this form to transfer registration for a foreign filing entity registered to do business in the District that merges with or converts to a foreign entity required to register to do business in the District . ENTITY TYPE / AU T H ORITY FILING F E E Foreign Filing Entity : 247 29 105.10. Refer to Corporate Fee Schedule posted online; Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the foreign filing entity listed below hereby applies for a Certificate of Transfer of Registration and for that purpose submits the statement below. 1.1. Entity Name. 2.Date of Issuance of Certificate of Foreign Registration. 3 .The type of entity that the foreign entity was before the merger / conversion. 4.Name of the entity into which it has merged or to which it has been converted. 5. Type of entity into which it has merged or to which it has been converted. 6.Name of State / Country whose laws govern converted / 7 . Answer 7A - B if information is different from the information for the applicant entity. 7A . Principal Office Address. 7B. Name and Address of the Registered Agent in the District of Columbia. 8. Attach certified copy of the statement evidencing the merger/conversion from Registration Authority in the State /Province /Country of Incorporation that is not over 90 days old. If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC 247 22 - 2405; 9 . Name of the Governor or Authorized Person: 9 A . Si gnature of the Governor or Authorized Person . American LegalNet, Inc. www.FormsWorkFlow.com