State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.state.ak.us/occ BUSINESS OR CORPORATION NAME RESERVATION APPLICATION DO NOT STAMP ABOVE THIS BOX CORP (OFFICE USE ONLY) NAME RESERVATIONS You may reserve a business name if you are intending to do business using that name. The non-refundable application fee to reserve a business or entity name is $25. The reservation is valid for 120 days. RESERVING AN ENTITY (CORPORATE) NAME You may reserve an entity name if you are: a person intending to organize an Alaska corporation, an Alaska corporation intending to change its name, a foreign corporation intending to register in Alaska, a foreign corporation registered in Alaska and intending to change your name, a person intending to organize a foreign corporation to be registered in Alaska. NAME TO RESERVE: APPLICANT NAME AND ADDRESS: Name Mailing Address City, State, Zip The signer acknowledges that this reservation is good for 120 days. Signature of Applicant Title Date Contact Name and Phone Number (To resolve questions with this filing) If you have specific legal questions or concerns about this filing, you are strongly advised to consult an attorney or other professional to assist you. Mail the filing and the non-refundable application fee of $25.00 (in U.S. dollars) to: State of Alaska Corporations Section PO Box 110806 Juneau, AK 99811-0806 08-580 (Rev. 04/10) American LegalNet, Inc. www.FormsWorkFlow.com