STATE OF ALABAMA FOREIGN CORPORATION (BUSINESS OR NON-PROFIT) APPLICATION FOR REGISTRATION Foreign Corporation Registration - 1/2019 Page 1 of 2 PURPOSE: In order to register a foreign entity (any entity formed outside of Alabama) to transact business in Alabama, the entity must deliver to the Secretary of State for filing an Application for Registration pursuant to Section 10A-1-7.04, Code of Alabama 1975. INSTRUCTIONS: Mail two (2) signed copies of this completed Application for Registration and the filing fee of $150.00 (credit card, check, or money order) to the Secretary of State, Business Services, P.O. Box 5616, Montgomery, Alabama, 36103-5616 or you may email your application to foreign.entities@sos.alabama.gov . If you are submitting this filing via email and paying the standard $150.00 fee and would like an acknowledgement copy please mark the $4.00 copy fee on the credit card payment form. If you elect expedited processing completed within approximately 24 hours after receipt by SOS, you may have the stamped copy emailed to you. Expedited processing is $250.00 (a $100.00 expedite fee plus the $150.00 filing fee). If you are mailing/couriering the application and would like an acknowledgement include a copy and postage paid self-addressed envelope. The entity will not be registered if the credit card does not authorize and will be removed from the index if the check is dishonored ($30 fee). All processing instructions are complete in this form and Payment Option Sheet; cover letters are not necessary and will not be reviewed. The information completing this form must be typed or laser printed. Business/For-Profit Corporation Non-Profit Corporation 1. The legal name of the foreign corporation as recorded in the jurisdiction in which it was formed/incorporated: 2. The name of the foreign entity for use in Alabama 226 you may use a fictitious name only if the legal name of the corporation above is not available in Alabama or the name does not comply with Article 5 of Title 10A. The name must contain the word "corporation" or "incorporated" or an abbreviation of one of the words (such as Inc. or Corp.) and satisfy the requirements of 10A-1-7.07 If a fictitious name must be used, other than simply adding the identifier (Inc., Corp, etc.), you must attach a copy of the resolution of its governing authority, certified by its Secretary, adopting the fictitious name. Title 10A-1-7.07(8) 3. A copy of the name reservation certificate received from the Office of the Alabama Secretary of State must be attached. 4. Street (No PO Boxes) Address of principal office: Mailing Address (if different from street address) (For SOS Office Use Only) American LegalNet, Inc. www.FormsWorkFlow.com FOREIGN CORPORATION (BUSINESS OR NON-PROFIT) APPLICATION FOR REGISTRATION Foreign Corporation Registration - 1/2019 Page 2 of 2 5.The undersigned certifies that the foreign entity currently exists as a valid entity of the type stated above under the laws of the entity222s jurisdiction of formation. 6.Corporation222s jurisdiction of formation: 7.Date of the corporation222s formation in state/country of jurisdiction:/ / (MM/DD/YYYY) 8.Name of registered agent for service of process in Alabama (MUST be physically located in Alabama): 9.Street (No PO Boxes) Address of registered office of registered agent (MUST be physically located in Alabama): Mailing Address in Alabama (if different from street address) 10.The date the foreign corporation began or will begin transacting business in Alabama:/ / (MM/DD/YYYY) Date Typed Name and Title of Signature Below Signature of Person Authorized to Sign per 10A-1-4.01, Alabama Code In order to review the sections of the Code of Alabama 1975 referred to in the filing form you may access www.sos.alabama.gov and go to Records. Choose the Code of Alabama link to review. American LegalNet, Inc. www.FormsWorkFlow.com Secretary of State Payment Option Sheet: If you do not send an acknowledgement copy and a pre- addressed postage paid envelope with the filling, you will not receive a credit card or prepaid account receipt from the Secretary of State222s Office. If you are expediting and opt for the email return of documents the credit card receipt will be emailed with the document. Hold for pickup request 226 acknowledgement copy will have the receipt attached. The document of record will be stamped showing the receipt of the filing fee and expedite fee but will not show convenience fees which will be charged; (normally these fees are between 2% and 5% of the total charge). Information MUST be typed or laser printed on a computer. Entity Name: Service Requested: $150.00 Registration filing fee $4.00 Copy Fee (Acknowledgement copy if submitted by email and copy desired) Sent by standard mail. $100.00 Expedited Processing fee *(Processed within 24 hours after receipt of filing)* Hold at Front Desk for Pick-up for: (Service providers who run couriers for pick-up 226 we do not have a call for pick-up service) *Email filing to: (ONLY for expedited filings) 1- email No paper copy will be mailed. Check is attached - Please make one check payable for the total amount of the fees (i.e., $250 if you are requesting expedited service) to the Alabama Secretary of State. Charge fees to prepaid account: Account Number and Account Name Typed Name & Signature of Authorized Individual on Account Credit Card Type: (Visa, MC, Discover & AmEx) Card Number: Expiration Mo/Yr: / (MM/YY) Card Holder Name: Complete Billing Address: Street or PO City State Zip Signature of Card Holder: MUST be Signature of Card Holder American LegalNet, Inc. www.FormsWorkFlow.com