Statement of Domestication: Foreign LLC with an AK Entity # Domesticating to a Domestic LLC 08-0596 New 07/01/2014 Instructions Page 1 of 5 STATEMENT OF DOMESTICATION These instructions and the attached form 08-596 are specifically for A Foreign (non-Alaskan) Limited Liability Company with an AK Entity Number Domesticating to a Domestic (Alaskan) Limited Liability Company Under the Alaska Entity Transaction Act AS 10.55.501-506 and AS 10.50.075 $175.00 Filing Fee $ 25.00 Statement of Domestication Filing Fee (non-refundable) $150.00 Articles of Incorporation Filing Fee (non-refundable) INSTRUCTIONS FOR STATEMENT OF DOMESTICATION (Please retain for your records): 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 Biennial Reports on the above website. If the officials have changed and there is no biennial report due then please submit a Notice of Change of 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 located on the above website under Forms and Fees. Select the appropriate version based on your entity type. 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 foreign (non-Alaskan) limited liability company may become a domestic (Alaskan) limited liability company in this state if the domestication is authorized by the law of the foreign entity222s jurisdiction of organization. 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: Foreign LLC with an AK Entity # Domesticating to a Domestic LLC 08-0596 New 07/01/2014 Instructions Page 2 of 5 NOTICE: The Statement of Domestication must be filed in conjunction with Articles of Organization (attached to this form) for a domestic (Alaskan) Limited Liability Company (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) foreign (non-Alaskan) limited liability company name (which is moving from a different jurisdiction to Alaska), the Alaska Entity Number, and the jurisdiction (the home state from which the limited liability company is leaving). (Note: the entity type in Item #1 must match the entity type in Item #2.) ITEM 2: Provide the domesticated (moving to) domestic (Alaskan) limited liability company name (which continues in existence after the domestication). (Note: the entity type in Item #2 must match the entity type in Item #1.) The name of the limited liability company must contain the words 223limited liability company224 or the abbreviation 223L.L.C.,224 or 223LLC224. The word 223limited224 may be abbreviated as 223Ltd.,224 and the word 223company224 may be abbreviated as 223Co.224 The name of a city, borough, or village may be used in a limited liability company name. The name may not contain the word 223city,224 223borough,224 or 223village224 or otherwise imply that the company is a municipality. A company 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 limited liability company in Item #2 on the Statement of Domestication must match the name in Article #1 on the Articles of Organization portion of 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 is a domestic (Alaskan) limited liability company; therefore the text of the converted entity222s articles of organization must be attached.to this Statement of Domestication. Choose only one of the options. Complete the attached Articles of Organization portion of this form. -OR- Provide Articles of Organization, which satisfy the requirements of AS 10.50.075 and AS 10.55.505, as an attachment. ITEM 6: The Statement of Domestication must be signed on behalf of the domesticating (moving from) entity (listed in Item #1 above) 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: Foreign LLC with an AK Entity # Domesticating to a Domestic LLC 08-0596 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. IMPORTANT: Changing Officials If the Statement of Domestication results in the change of an official, officer, director, shareholder, member, manager and/or percent owned then the domesticated (moving to) entity (listed in Item #2 on the Statement of Domestication) must file a notification of changing officials with this division. A Notice of Change of Officials must be filed in the manner and time prescribed in AS 10.06.813, 10.20.631, 10.50.765, or AS 32.11.020(d). In the case of a Limited Partnership: a domestic Limited Partnership must file an Amended Certificate of Limited Partnership and for a foreign Limited Partnership must file a Certificate of Correction in the manner and time prescribed in AS 32.11.020(d). The appropriate form can be found online at the above and select Forms and Fees. The notification form may be filed in conjunction with the Statement