08-502 (Rev. 02/01/2012) Certificate of Cancellation Instructions CERTIFICATE OF CANCELLATION Foreign Limited Liability Company AS 10.50.660 Filing Fee: $25.00 (non-refundable) INSTRUCTIONS (Please retain for your records): NOTICE: The Certificate of Cancellation will not be filed if a biennial report is due or the signatures do not match what the Corporations Section has on record. Please verify the following before completing the application. o Have all current biennial reports be filed? o Are the members/managers up to date on our records? To verify this information please search for the entity by going to Search Corporations Database in the Corporations Section of our website at www.commerce.alaska.gov/occ . If there is a biennial report due, the report may be filed online by selecting Biennial Reports on the Corporations Section page. If the members/managers have changed, but no biennial report is due, please submit a Notice of Change located in the Forms and Fees section. Pursuant to Alaska Statutes 10.50.660, a foreign corporation may apply for a Certificate of Cancellation. If you need assistance in completing your filing, it is advised that you seek legal counsel. Please be aware that this filing will become public information. ITEM 1: Provide the name of the entity currently on record and the Alaska Entity Number. ITEM 2: Provide the state or country of domicile where the corporation has filed their Articles of Incorporation. ITEM 3-5: These are standard statements required by statute. Please read through and verify. ITEM 6: Provide the mailing address where the commissioner may mail any service of process against the company. ITEM 7: The Application of Cancellation must be signed by a member, manager, or attorney-in-fact. NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in material respects are guilty of a class A misdemeanor. Mail the Certificate of Cancellation and the non-refundable $25.00 filing fee in U.S. dollars to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. 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.alaska.gov/occ American LegalNet, Inc. www.FormsWorkFlow.com 08-502 (Rev. 02/01/2012) Page 1 of 1 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. alaska.gov /occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP CERTIFICATE OF CANCELLATION Foreign Limited Liability Company AS 10. 50.660 $25.00 Filing Fee (non-refundable) Pursuant to Alaska Statutes 10.50.660, the undersigned corporation applies for a Certificate of Cancellation. ITEM 1: Name of the Entity: Alaska Entity #: ITEM 2: State or country of domicile: ITEM 3: The Company is not conducting affairs in Alaska. ITEM 4: The Company cancels its registration in Alaska. ITEM 5: The Company hereby revokes the authority of its registered agent in Alaska and consents that service of process may subsequently be made on the company by service of the Commissioner. ITEM 6: The mailing address where the Commissioner may mail any service of process against the company: Name: Mailing address: Physical address: ITEM 8: The Certificate of Cancellation must be signed by a member, manager, or attorney-in-fact. Signature Printed name Title Date If signing on behalf of a member or manager which is an entity, then identify signer222s relationship and signing authority with the member entity. For example: John Smith, President of XYZ Inc. the sole member of ABC LLC. NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in material respects are guilty of a class A misdemeanor. Mail the Certificate of Cancellation and the non-refundable $25.00 filing fee in U.S. dollars to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. American LegalNet, Inc. www.FormsWorkFlow.com 08-561 (Rev. 02/01/2012) Page 1 of 1 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.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP CONTACT INFORMATION SHEET Please return this document with your filing. This information will only be used to resolve questions with the filings attached. NOTE: this form will not be filed for record or appear online. Name of entity as it appears on filing: To resolve questions with this filing, contact: Name: Email: Phone: Mailing address: Return documents to: Name: Company: Mailing address: Attach this form to your filings. Send all documents to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. American LegalNet, Inc. www.FormsWorkFlow.com All major credit cards are accepted. For security purposes, do not email credit card information. Include this credit card payment form with your application. Name of Applicant or Licensee: Program Type: License Number (if applicable): I wish to make payment by credit card for the following (check all that apply): AMOUNT Application Fee: License or Renewal Fee: Other (name change, wall certificate, fine, duplicate license, exam, etc.): 1. 2. TOTAL: Name (as shown on credit card): Mailing Address: Phone Number: Email (optional): Signature of Credit Card Holder: 08-4438 Rev 12/26/18 Credit Card Payment Form (all major cards accepted) State of Alaska Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing PO Box 110806, Juneau, AK 99811 Phone: (907) 465-2550 Credit Card Payment Form CREDIT CARD INFO: Your payment cannot be processed unless all fields are completed! All four fields MUST be completed! This section will be destroyed after the payment is processed. 1. Account Number : 2. Expiration Date: 3. Billing ZIP Code: 4 . Security Code : FOR DIVISION USE ONLY T HE S TATE ALASKA of Department of Commerce, Community , and Economic Development Division of Corporations, Business and Professional Licensing American LegalNet, Inc. www.FormsWorkFlow.com