Filing Fee: $50.00 STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 100 North Main Street Providence, Rhode Island 02903-1335 BUSINESS CORPORATION ____________ APPLICATION FOR RENEWAL OF REGISTRATION OF CORPORATE NAME Pursuant to the provisions of Section 7-1.1-10 of the General Laws, 1956, as amended, the undersigned foreigncorporation hereby applies for a renewal of registration of its corporate name extending the registration for a period of oneyear from the date of expiration of the filing of its original application, or last renewal thereof, and submits the followingstatement: 1. The name of the corporation is 2. The corporation is incorporated under the laws of 3. The date of its incorporation is 4. The corporation is carrying on or doing business. 5. The business in which it is engaged is 6. This application is accompanied by (a) a certificate setting forth that the corporation is in good standing under the laws of the state or territory wherein it is organized, executed by the secretary of state of the state or territory or by such other official as may have custody of the records pertaining to corporations; and (b) a registration fee of $50.00 as required by such Section 7-1.1-10 of the General Laws, 1956, as amended. Under penalty of perjury, I declare that the information contained herein is true and correct. Date: Print Exact Name of Corporation Making Application By Signature of Officer Title of OfficerSubmitted By: Name Address Form No. 623 Revised: 01/99 >>>> 2 STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 100 North Main Street Providence, Rhode Island 02903-1335 (401) 222-3040 INSTRUCTIONS FOR FILING APPLICATION FOR RENEWAL OF REGISTRATION OF CORPORATE NAME Section 7-1.1-10 of the General Laws of Rhode Island, 1956, as amended 1. A corporation, which has in effect a registration of its corporate name, may renew the registration from year to year by annually filing an Application for Renewal of Registration of Corporate Name. A renewal application must be filed prior to the expiration of the original application for registration or its last renewal and shall extend the registration for the following year. 2. When the Application for Renewal of Registration of Corporate Name has been properly completed, signed and submitted with the correct filing fee and certificate of good standing as noted in item 3 below, a Certificate of Renewal of Registration of Corporate Name, will be returned to the filer. 3. The Application for Renewal must be accompanied by a certificate of good standing duly authenticated by the secretary of state or other authorized officer of the jurisdiction under which the foreign corporation was formed. The certificate of good standing must be dated within sixty (60) days of the receipt and filing of the Application. 4. The filing fee for an Application for Renewal is $50.00, and payment should be made payable to the Rhode Island Secretary of State. 5. The Application for Renewal must be executed by an officer of the corporation. If you have any questions, please call us at (401) 222-3040, Monday through Friday, between 8:30 a.m. and 4:30 p.m.Instructions/Form 623 Revised: 01/99