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Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442 - 44 32 Corporate Online Services Information: Many corporate filings are available by using CorpOnline Service. Go to CorpOnline site at https://corp online .dcra.dc.gov , create the profile, access the online services main page and proceed. Online filers must pay by using the credit card. District of Columbia Government Corporations Division Foreign Registration Statement Form F N - 1, Ver. 2 , April 2018 . Use this form to register your foreign filing entity to conduct business in the District of Columbia. Review instruction sheet on page 2 before completing this form. ENTITY TYPE / AUTHORITY FILING F E E Foreign Filing Entity : 247 29 105.03. Refer to Corporate Fee Schedule posted online; Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the foreign filing entity listed below hereby applies for a Certificate of Registration to transact business in th e District of Columbia, and for that purpose submits the statement below. 1. 1. Entity Name. 2.Entity Type. 3 not available) 4 . Organized under the laws of which state /province and country . 4. 5 . Date of Organization . 6.Date entity started or will start transacting business in the District of Columbia. 7. Principal Address. registered office in District of Columbia. 9 . Briefly describe the proposed activity company will transact in the D istrict of C olumbia . 10 . List the name of at least one governor. (may attach the statement) TITLE NAME ADDRESS 11 . Attach an original Certificate of Good Standing (Certificate of Existence) from Registration Authority in the State /Province /Country of Incorporation that is not over 90 days old. If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC 247 22 - 2405; 1 2 . Name of the Governor or Authorized Person: 12A . Si gnature of the Governor or Authorized Person & Date. American LegalNet, Inc. www.FormsWorkFlow.com Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442 - 44 32 Corporate Online Services Information: Many corporate filings are available by using CorpOnline Service. Go to CorpOnline site at https://corp online .dcra.dc.gov , create the profile, access the online services main page and proceed. Online filers must pay by using the credit card. District of Columbia Government Corporations Division Instruction Sheet For Foreign Registration Statement Form FN - 1, Ver. 2 , April 2018 . Use this form to register foreign filing entity in the District of Columbia. Foreign filing entity includes nonprofit and for - profit corporation, limited liability company, limited partnership, limited liability partnership, general cooperative association, limited cooperative association and statutory trust This process gives authority of the foreign filing entity to conduct business within the District of Columbia, but does not license the It is your responsibility to ensure compliance in those areas. Application Ste p - By - Step Instruction: I tem 1. Provide the e ntity n ame as it appears on the records of the state/ province in the country of formation (domicile). Item 2 . Provide the entity type. Item 3 . Provide the e a lternate n ame ; this option shall only be used if records from the name of another registered entity or if entity is missing the appropriate corporate qualifier ; entity may adopt alternate name or adopt its entity name, with the addition of its jurisdictio n of formation clearly identified. Item 4 . Provide the name of the state/ province and country of formation. Item 5 . Provide the d ate of o rganization. 5 Item 6. Date entity started or will start transacting business in the District of Columbia; A - if entity has not started conducting business, you may indicate the following - upon registration; B - if entity commenced its business previously, it may be liable for back reports and back fees; Special Note: It is imperative for foreign filing entit y that conducted business previously to contact division for exact fees and instructions to avoid application rejection for deficiency; Item 7. Provide the a ddress of the company in the state /country where it is organized; if no address is maintained in the state/country of formation then provides Item 8. Provide the the District of Columbia. Item 9. Briefly describe the proposed activity company will transact in the District of Columbia. Item 10. List the name of at least one governor (Manager, Member, Officer, Partner, etc.) of the entity. Item 11. Attach an original Certificate of Good Standing (Certificate of Existence) from Registration Authority in the State/ Province in the Country of Incorporation that is not over 90 days old. Item 1 2 . Provide the n ame of th e Governor or Authorized Person signing this form. Item 12A . Provide the signature of the Governor or A uthorized Person and date of filing. American LegalNet, Inc. www.FormsWorkFlow.com