In order for this limited liability company to receive its annual franchise tax reporting form,please complete and file with the Office of the Secretary of State at the time of filing.Limited Liability Company name as used in ArkansasContact personStreet address or Post Office Box numberCity, State, ZIPTelephone numberE-mail addressNOTE: This tax is due on or before May 1 of the year following filing or qualification inthis state.Signature Title Please Type or Print Limited Liability Company Franchise Tax 001027021n024030n030007r013027r031n027035025016007031n031r$'#$t 003n026020031025022037004020031031022r006025013021 Rev. American LegalNet, Inc. www.FormsWorkFlow.com