CSCL/CD-760 (Rev. ) MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRSCORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU Date Received This document is effective on the date filed, unless asubsequent effective date within 90 days after receiveddate is stated in the document.EFFECTIVE DATE: NameAddressCityStateZIP Code Document will be returned to the name and address you enter above.If left blank, document will be returned to the registered office. (FOR BUREAU USE ONLY)APPLICATION FOR CERTIFICATE OF AUTHORITYTO TRANSACT BUSINESS IN MICHIGANFor 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: 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 ofits business in Michigan is: 4.The address of the office required to be maintained in the state of organization or, if not so required, the principal officeof the limited liability company is: 1.The name of the limited liability company is: 3.It is organized under the laws ofThe date of its organization isThe duration of the limited liability company if other than perpetual is (Street Address)(City)(ZIP Code)(State) American LegalNet, Inc. www.FormsWorkFlow.com 5. a. The street address of its registered office in Michigan is: , Michigan (Street Address)(City)(ZIP Code) (City)b.The mailing address of the registered office, if different than above:, Michigan (Street Address or P.O. Box)(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liability company for service of process if no agent has beenappointed, or if appointed, the agent's authority has been revoked, the agent has resigned, or the agent cannot be foundor served through the exercise of reasonable diligence.The name and address of a member or manager or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 anyprocess served on the administrator is: (Must be different than agent shown in Item 5c) (Name) (Street Address)(City)(ZIP Code)(State) 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 thisday of, By(Signature) (Type or Print Name)(Type or Print Title) American LegalNet, Inc. www.FormsWorkFlow.com Submit with check or money order by mail: Michigan Department of Licensing and Regulatory Affairs Corporations, Securities & Commercial Licensing Bureau Corporation Division P.O. Box 30054 Lansing, MI 48909To submit in person:2501 Woodlake CircleOkemos, MITelephone: (517) 241-6470 Fees may be paid by check, money order, VISAMasterard when delivered in person to our office. LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon requestto individuals with disabilities.INFORMATION AND INSTRUCTIONS1.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 requiredby the act. This is a legal document and agency staff cannot provide legal advice.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 CSCL/CD-760 (Rev. )Preparer's NameBusiness telephone number( )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 ofdelivery, may be stated as an additional article.6.Item 7 - This item should state only the specific business to be transacted in Michigan. An all purpose activities statement is notpermitted.5.Item 6 - The person must be different than agent shown in Item 5(c).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 companyfor the purpose of obtaining a Certificate of Authority to Transact Business in this State. If the foreign limited liability companysubsequently changes any of the information set forth in the Application for Certificate of Authority, it must file an Amended Applicationfor Certificate of Authority to Transact Business in Michigan (form CSCL/CD-762) with the Bureau not later than 30 days after the timea change becomes effective.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 inthe 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 andwhite contrast, or otherwise illegible, will be rejected.8.Attach to this Application a certificate executed by the official of the jurisdiction having custody of limited liability company recordsstating that the limited liability company is in good standing under the laws of the jurisdiction of its organization. The certificatecannot be dated earlier than 30 days prior to the date of receipt in this office.7.The Application must be signed by a person with authority to sign as provided in the laws of the jurisdiction of its organization.4.Item 2 - A foreign limited liability company whose name is not available for use in Michigan is permitted to apply for a Certificate ofAuthority under an assumed name which is available for use. The assumed name becomes the limited liability company's name inMichigan to be used in all transactions and in its dealings with the administrator. Item 2 of the Application for Certificate of Authorityto Transact Business in Michigan is to be completed for this purpose only. Limited liability companies may also transact businessunder other assumed names by filing separate Certificate of Assumed Name. American LegalNet, Inc. www.FormsWorkFlow.com Optional expedited service.Expedited review and filing, if fileable, is available for all documents for profit corporations, limitedliability companies, limited partnerships and nonprofit corporations.The nonrefundable expedited service fee is in addition to the regular fees applicable to the specificdocument. Please complete a separate CSCL/CD-272 form for expedited service for each document submittedin person 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 ofauthority.Same day - $200 for any document concerning an existing entity.Review completed on day of receipt. Document and request for same day expeditedservice must be received by 1 p.m. EST OR EDT.Two hour - $500Review completed within two hours on day of receipt. Document and request for two hourexpedited service must be received by 3 p.m. EST OR EDT.One hour - $1000Review completed within one hour on day of receipt. Document and request for 1 hourexpedited 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 arethen forwarded to the Corporation Division for review. Day of receipt for mailed expedited servicerequests is the day the Corporation Division receives the request. Rev. American LegalNet, Inc. www.FormsWorkFlow.com