SECURITIES AND BUSINESS REGULATION 237 Coliseum Drive. Macon, Georgia 31217-3858 (478) 207-2440 http://www.sos.ga.gov/securities/ BRIAN P. KEMP Commissioner of Securities CORPORATE RESOLUTION OF (Print or Type Name of Corporation) RESOLVED, that it is desirable and in the best interest of this Corporation that its securities be qualified or registered for sale in various states; that the President or any Vice-President and the Secretary or an Assistant Secretary hereby are authorized to determine the states in which appropriate action shall be taken to qualify or register for sale all or such part of the securities of this Corporation as said officers may deem advisable; that said officers are hereby authorized to perform on behalf of this Corporation any and all such acts as they may deem necessary or advisable in order to comply with the applicable laws of any such states, and in connection therewith to execute and file all requisite papers and documents, including, but not limited to, applications, reports, surety bonds, irrevocable consents and appointments of attorneys for service of process; and the execution by such officers of any such paper or document or the doing by them of any act in connection with the foregoing matters shall conclusively establish their authority therefor from this Corporation and the approval and ratification by this Corporation of the papers and documents so executed and the action so taken. This ______________ day of ___________________ , 20 ____ . Applicant: _ _ _ _ _ _ _ By: ______________________________________________ (Authorized Corporate Officer Signature) ______________________________________________ (Print or Type Name & Title) State of ___________________ County of __________________ The undersigned, ____________________________________ being first duly sworn, deposes and says: That he/she has executed the foregoing application for and on behalf of the applicant named of such applicant and is fully therein; that he/she is _________________________________ authorized to execute and file such application; that he/she is familiar with such application; and that to the best of his/her knowledge, information and belief, the statements made in such application are true, and the documents submitted therewith are true copies of the originals thereof. ____________________________________________ (Authorized Signature) Subscribed and sworn to before me this ____ day of ______________ , 20 __ . _______________________________ (Notary Public) State of _______________________ _________________________ My Commission Expires: _________ ___________ (Notarial Seal) Form 6A (Form U2A may be used) Rev. 2/2011 American LegalNet, Inc. www.FormsWorkFlow.com