INSTRUCTIONS FOR COMPLETING THE STATEMENT BY UNINCORPORATED ASSOCIATION (FORM UA-100) For easier completion, this form is available on the Secretary of State's website at http://www.ss.ca.gov/business and can be viewed, filled in and printed from your computer. The completed form along with the applicable fees can be mailed to Secretary of State, Document Filing Support Unit, P.O. Box 944225, Sacramento, CA 94244-2250 or delivered in person to the Sacramento office, 1500 11th Street, 3rd Floor, Sacramento, CA 95814. If you are not completing this form online, please type or legibly print in black or blue ink. This form should not be altered. Statutory filing requirements are found in California Corporations Code section 18200. All statutory references are to the California Corporations Code, unless otherwise stated. FEES: The fee for filing the Statement by Unincorporated Association is $25.00. A $15.00 special handling fee is applicable for processing documents delivered in person to the Sacramento office. The $15.00 special handling fee must be remitted by separate check for each submittal and will be retained whether the documents are filed or rejected. The special handling fee does not apply to documents submitted by mail. Check(s) should be made payable to the Secretary of State. Statements by Unincorporated Association are not filed in the regional offices. • After the Statement by Unincorporated Association has been filed, the association may at any time file a new statement superseding the last previously filed statement. If the new statement does not designate an agent for service of process, the filing of the new statement operates to revoke a process agent previously designated. • The Statement by Unincorporated Association expires 5 years from December 31 following the date of filing with the Secretary of State, unless previously superseded by the filing of a new statement. Complete the Statement by Unincorporated Association (Form UA-100) as follows: Item 1. Enter the name of the unincorporated association. Item 2. If the association has a principal office address in California, enter the complete address, including zip code, and proceed to Item 4 (leave Item 3 blank.) If the association has no principal office address in California, leave Item 2 blank and proceed to Item 3. Item 3. If the unincorporated association has no principal office in California, enter the complete address of the unincorporated association to which the Secretary of State shall send any notices required under Sections 18210 and 18215 . Item 4. An agent for service of process may be designated by the unincorporated association if the association has a principal office address in California, and must be designated by the unincorporated association if the association has no principal office address in California. The person named as agent must be a resident of California or a corporation that has filed a certificate pursuant to Section 1505. If an individual is designated as agent, both Items 4 and 5 must be completed. If a corporation is designated, complete Item 4 and proceed to Item 6 (do not complete Item 5). An Agent for Service of Process is an individual or corporation designated by an unincorporated association to accept service of process if the unincorporated association is sued. Please note: An unincorporated association cannot name itself as agent for service of process. Further, no domestic or foreign corporation may file pursuant to Section 1505 unless the corporation is currently authorized to engage in business in California and is in good standing on the records of the Secretary of State. Item 5. If an individual is designated as the agent for service of process, enter the agent’s business or residential address in California. Please do not enter “in care of” (c/o) or abbreviate the name of the city. Please do not enter an address if a corporation is designated as the agent for service of process. Item 6. If the unincorporated association filed a previous statement, enter the file number issued by the Secretary of State. If the last statement filed by the association has expired, or no prior statements have been filed, leave Item 6 blank and proceed to Item 8. Item 7. If the unincorporated association filed a previous statement under a name other than the name entered in Item 1, enter the former name of the association exactly as it is of record with the Secretary of State. If the name has not changed, or the last statement filed by the association has expired, or no prior statements have been filed, leave Item 7 blank and proceed to Item 8. Item 8. Type or print the name and title of the person completing this form and enter the date this form was completed. American LegalNet, Inc. www.FormsWorkflow.com Secretary of State Business Programs Division th rd 1500 11 Street, 3 Floor Sacramento, CA 95814 Business Entities (916) 657-5448 EXPANSION OF PRECLEARANCE AND EXPEDITED FILING SERVICES (Effective Monday, October 2, 2006) We are pleased to announce that our preclearance and expedited filing services have been expanded to include all business entity documents filed with the Secretary of State pursuant to the California Corporations Code, the California Financial Code or the California Insurance Code. These services, previously offered only for specified corporate documents, are now available for all corporate, limited liability company and limited partnership documents, including interspecies mergers and conversions, and for all other documents filed by other entity types. In addition, the number of copies required to be submitted for the preclearance service has been reduced from two to one. Preclearance service provides a customer with the opportunity to submit a business entity document in person to the Secretary of State’s Sacramento office prior to filing to determine if the document conforms to law and to receive a preclearance response within a guaranteed time frame. Expedited filing service provides a customer with the opportunity to submit for filing a business entity document in person to the Secretary of State’s Sacramento office and to receive a filing response within a guaranteed time frame. Please refer to the Secretary of State’s website at http://www.ss.ca.gov/business/precexp.htm for detailed information regarding the preclearance and expedited filing services. Authority cited: Title 2, California Code of Regulations, sections 21904 and 21905; and Government Code section 12182. PRECEXP NOTICE (10/2006) American LegalNet, Inc. www.FormsWorkflow.com State of California Secretary of State STATEMENT BY UNINCORPORATED ASSOCIATION (Corporations Code section 18200) A $25.00 filing fee must accompany this form. IMPORTANT – Read instructions before completing this form. This Space For Filing Use Only ENTITY NAME 1. NAME OF UNINCORPORATED ASSOCIATION PRINCIPAL OFFICE ADDRESS IN CALIFORNIA, IF ANY (If the association has a principal office address in California, complete Item 2 and proceed to Item 4 (leave Item 3 blank.) If the association has no principal office address in California, leave Item 2 blank and proceed to Item 3.) 2. PRINCIPAL OFFICE ADDRESS CITY STATE ZIP CODE CA MAILING ADDRESS (If Item 2 was not completed, complete Item 3 with the address to which the Secretary of State shall send any required notices.) 3. MAILING ADDRESS CITY AND STATE ZIP CODE AGENT FOR SERVICE OF PROCESS (If Item 2 was completed, the association may designate an agent for service of process. If, however, Item 3 was completed, the association must designate an agent for service of process. If the agent is an individual, the agent must reside in California and both Items 4 and 5 must be completed. If the agent is a corporation, the agent must have on file with the California Secretary of State a certificate pursuant to Corporations Code section 1505 and Item 4 must be completed (leave Item 5 blank). 4. NAME OF AGENT FOR SERVICE OF PROCESS 5. IF AN INDIVIDUAL, CALIFORNIA ADDRESS OF AGENT FOR SERVICE OF PROCESS CITY STATE ZIP CODE CA AMENDED FILING (If the unincorporated association filed a previous statement with the Secretary of State, enter the Secretary of State file number in Item 6, and if the name under which the unincorporated association previously filed differs from the name entered in Item 1, enter the former name of the unincorporated association in Item 7. If the last statement filed by the association has expired, or if no prior statements have been filed, leave Items 6 and 7 blank and proceed to Item 8.) 6. SECRETARY OF STATE FILE NUMBER 7. FORMER NAME OF UNINCORPORATED ASSOCIATION (if different from the name in Item 1 above) EXECUTION 8. THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT. SIGNATURE OF PERSON COMPLETING THIS FORM TITLE OF PERSON COMPLETING THIS FORM TYPE OR PRINT THE NAME OF PERSON COMPLETING THIS FORM DATE UA-100 (REV 03/2005) APPROVED BY SECRETARY OF STATE American LegalNet, Inc. www.FormsWorkflow.com