DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION CORPORATIONS DIVISION Government Of the District of Columbia DCRA\BPLA Corporations Division P.O. Box 92300 WASHINGTON, D.C. 20090 APPLICATION FOR CERTIFICATE OF AUTHORITY FOREIGN CORPORATION To: Department of Consumer and Regulatory Affairs Business and Professional Licensing Administration Corporations Division Pursuant to the provisions of the Code of Laws for the District of Columbia and the BUSINESS CORPORATION ACT, the undersigned corporation hereby applies for a Certificate of Authority to transact business in the District of Columbia, and for that purpose submits the following statement: 1. Name of Corporation: ________________________________________________________________________ 2. Name elected to use in the District (Restate name by only choosing or adding "corporation", "incorporated", company", or an abbreviation thereof, if same does not appear in corporate name as incorporated in its home state. Otherwise, answer same as 1.) ________________________________________________________________________ 3. Incorporated under the laws of the State of: _______________________________________ 4. Date of Incorporation: _______________________________________ 5. Term of Existence (Indicate Perpetual or Specify Dissolution Date): _____________________________________________ 6. Date commenced or will commence transacting business in the District: ______________________________________________________________ 7. Address (including street and number) of its principal office or registered office address in the State/Country where incorporated: ________________________________________________________________________ American LegalNet, Inc. www.FormsWorkflow.com 8. ADDRESS (including street and number) of its MANDATORY registered office and NAME of its registered agent in the District of Columbia: Name:__________________________________________________________________ Can be D.C. Resident Or For-Profit Corporation in good standing, authorized to act as registered agent. Address:________________________________________________________________ P.O. Box is not sufficient. 9. Briefly describe the business company proposes to transact in the District (general purposes are not acceptable; be specific): ________________________________________________________________________ 10. Names and addresses of its officers and directors: President Name ________________________________________________________________________ Address ________________________________________________________________________ Vice President Name ________________________________________________________________________ Address ________________________________________________________________________ Secretary Name ________________________________________________________________________ Address ________________________________________________________________________ Treasurer Name ________________________________________________________________________ Address ________________________________________________________________________ Director Name ________________________________________________________________________ Address ________________________________________________________________________ Corporate Name ________________________________________________________________________ Signature of President or Vice President _________________________________________________________ Signature of Secretary or Assistant Secretary _________________________________________________________ (Corporate Seal) American LegalNet, Inc. www.FormsWorkflow.com REQUIRED-Attach Written Consent of Registered Agent REQUIRED-Attach an original Certificate of Good Standing (from State of Organization) that is not over 30 days old. REQUIRED- File in duplicate originals Filing Fee ....$200 Make Check Payable to D.C. Treasurer For General Information Call: The Corporations Division - (202) 442-4432 Please check our corporate website to view organizations required to register, to search business names, to obtain step-by-step guidelines to register an organization, to search registered organizations, and to download forms and documents. Simply log onto our website at www.dcra.dc.gov, click on “Corporate Registration” and follow links as prompted. To ensure timely and accurate processing of this document, mail all required forms and payment to: Department of Consumer and Regulatory Affairs Corporations Division P.O. Box 92300 Washington, D.C. 20090 For Overnight Delivery send to: Corporate Bank of America Attention: D.C. Government Wholesale Lockbox # 92300 Mail code MD4-301-18-04 18th floor 225 North Calvert Street Baltimore, Maryland 21202 American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com