Statement of Domestication: Domestic Bus. Corp. Domesticating to Foreign Bus. Corp. continuing to conduct business in Alaska 08-0592 New 07/01/2014 Instructions Page 1 of 5 STATEMENT OF DOMESTICATION These instructions and the attached form 08-592 are specifically for A Domestic (Alaskan) Business Corporation Domesticating to A Foreign (non-Alaskan) Business Corporation which will continue to conduct business in Alaska as a qualified (on record with the division) Foreign Business Corporation Under the Alaska Entity Transaction Act AS 10.55.501-506 and AS 10.06.730 $175.00 filing fee. $ 25.00 Statement of Domestication (non-refundable) $150.00 (non-refundable) INSTRUCTIONS FOR STATEMENT OF DOMESTICATION (Please retain for your records):IMPORTANT: This form is to be used only if the foreign (non-Alaskan) business corporation (listed in Item # 2 on the Statement of Domestication) will continue to be doing business in Alaska. If the domesticated foreign business corporation will not be doing business in Alaska, then you must use form 08-601, A Domestic (Alaskan) Entity Domesticating to an Unqualified Foreign (Non-Alaskan) Entity Not Conducting Business in Alaska. NOTICE: The Statement of Domestication will not be filed if a biennial report is due. Please verify the following for the domesticating entity before completing the application: Is the qualified entity (on record with this division) in 223Good Standing224 status?Have all required biennial reports been filed?Are the officials on record correct, current and up to date? (Used to verify signatures for this filing.)Is the Registered Agent information on record correct, current and up to date?To verify the above information you may search for the entity by going to the above website, click License Search and under Search License Data select Corporations. If there is a biennial report due, it may be filed online (for immediate posting) by selecting BiennialReports on the above website. If the officials have changed and there is no biennial report due then please submit a Notice of Changeof Officials located on the above website under Forms and Fees. Select the appropriate version based on your entity type. If the Registered Agent information needs to be updated please submit a Statement of Change locatedon the above website under Forms and Fees. Select the appropriate version based on your entity type.Corporations Section State Office Building, 333 Willoughby Avenue, 9th Floor PO Box 110806, Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Email: corporations@alaska.gov Website: http://commerce.alaska.gov/cbpl/corp ALASKADepartment of Commerce, Community, and Economic DevelopmentDivision of Corporations, Business and Professional Licensing THESTATEof American LegalNet, Inc. www.FormsWorkFlow.com Statement of Domestication: Domestic Bus. Corp. Domesticating to Foreign Bus. Corp. continuing to conduct business in Alaska 08-0592 New 07/01/2014 Instructions Page 2 of 5 WHAT IS A DOMESTICATION? Domestication (moving from a different jurisdiction or home state to a new jurisdiction or home state) means a transaction authorized by AS 10.55.501-10.55.506, with the exception of the entities excluded under AS 10.55.110. Under this: A domestic (Alaskan) business corporation may become a foreign (non-Alaskan) business corporation in a foreign jurisdiction if the domestication is authorized by the law of the foreign jurisdiction. NOTICE: The Statement of Domestication must be filed in conjunction with Certificate of Authority (attached to this form) for a Foreign (non-Alaskan) Business Corporation (which will continue to conduct business in Alaska after the domestication) and the applicable $150.00 fee (which is already included in the above stated filing fees). ITEM 1: Provide the domesticating (moving from) domestic (Alaskan) business corporation name (which is moving from Alaska to a different jurisdiction). (Note: the entity type in Item #1 must match the entity type in Item #2.) ITEM 2: Provide the domesticated (moving to) foreign (non-Alaskan) business corporation name (which will continue to conduct business in Alaska after the domestication) and the domesticated (foreign) jurisdiction. (Note: the entity type in Item #2 must match the entity type in Item #1.) A business corporate name must contain the word "corporation," "company," "incorporated," or "limited," or an abbreviation of one of these words. The corporate name may not contain a word or phrase that indicates or implies that the corporation is organized for a purpose other than the purpose contained in its articles of incorporation. A corporate name must be distinguishable upon the record. To search the availability of the legal name of the corporation in the State of Alaska go to the above website, click License Search, and select Search Corporations Database. NOTE: the name of the business corporation in Item #2 on the Statement of Domestication must match Item #1 in the Certificate of Authority attached to this filing. ITEM 3: (Optional) The future effective date of domestication, if different from date of filing, must be a specific future date and cannot exceed 90 days from date of filing. Future effective date (mm/dd/yyyy format). ITEM 4: This statement is required by statute. Please read through and verify. ITEM 5: The domesticated (moving to) entity (listed in Item #2 on the Statement of Domestication) is a foreign (non-Alaskan) business corporation, which will continue to be conducting business in Alaska as a foreign business corporation after the domestication, must complete the attached Certificate of Authority portion of this form. ITEM 6: The Statement of Domestication must be signed on behalf of the domesticating (moving from) entity (listed in Item #1 on the Statement of Domestication) in the following manner: If the domesticating entity is a corporation, it must be signed by an officer of the corporation. If the domesticating entity is not a corporation, it must be signed by the person authorized by the entity. If the domesticating entity is in the hands of a receiver, trustee, or other court-appointed fiduciary, it must be signed by the fiduciary. If the domesticating entity is currently on record with this division (has an AK Entity Number) and the signer is an official of the entity then the signer must be currently on record with this division. Provide the printed name of the signer, the full title/capacity of the authorized signer, the name of the business corporation that the individual is representing, and signature of the individual authorized to sign. American LegalNet, Inc. www.FormsWorkFlow.com Statement of Domestication: Domestic Bus. Corp. Domesticating to Foreign Bus. Corp. continuing to conduct business in Alaska 08-0592 New 07/01/2014 Instructions Page 3 of 5 NOTE - Signatures: Per AS 10.55.609, persons who sign documents to be filed with the commissioner that are known by the person to be false in material respects are guilty of a class A misdemeanor. NOTE: Plan of Domestication 226OR- Statement of Domestication Do not send both together. Submit either the Statement of Domestication OR the plan of domestication that is signed on behalf of all entities and contains all the information required to be in the Statement of Domestication and is delivered to the Division for filing after the plan has been adopted and approved by all merging entities. Sending both the plan of domestication and the Statement of Domestication together may cause delays in processing time. SUBMITTAL: Please submit forms and payment together. Mail the Statement of Domestication (form 08-592) and the $175.00 non-refundable filing fee in U.S. dollars to: o State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 If faxing the form please include the Credit Card Payment form with the appropriate fees. Do not email forms or payment. 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. IMPORTANT: This form is to be used only if the foreign (non-Alaskan) business corpo