District of Columbia Government Corporations Division Application for Certificate of Authority for Foreign Non-Profit Corporation Form FNP-1, Version 5, July 2010. Use this form (FNP-1) to register your foreign non-District nonprofit corporation. ENTITY TYPE FILING FEE Foreign Non-Profit Corporation Refer to Corporate Fee Schedule posted online; Under the provisions of the Non-Profit Corporation Act, DC Official Code (DCOC) Title 29 Chapter 3, the corporation listed below hereby applies for a Certificate of Authority to transact business in the District of Columbia, and for that purpose submits the statement below. 1. Entity Name. 2. Incorporated under the laws of which state or country. 3. Date of Incorporation. 4. Term of Existence. 5. Date commenced or will commence transacting business in the District of Columbia. 6. Address of the corporation in the state where it is incorporated. 7. Name of Registered Agent and address of registered office in District Columbia. 8. Briefly describe the specific proposed activity the corporation will transact in the District of Columbia. "General purpose" is not an acceptable description. Attach sheet if needed. 9. List all corporation directors and officers (attach list if needed). TITLE NAME ADDRESS 10. Attach your Certified Copy of Articles of Incorporation and any Amendments, from the State/Country of Incorporation. The attachments must have state certification dates within the last 6 months. If you sign this application, you agree that you understand that anyone who makes a false statement anywhere on it can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405. 11. Select the corporate officer executing this form. 12. Signature. President Vice-President 13. Select corporate officer executing this form. Secretary 14. Signature. Assistant Secretary Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442-4400 Please check dcra.dc.gov to view organizations required to register, to search business names, to get step-by-step guidelines to register an organization, to search registered organizations, and to download forms and documents. Just click on "Corporate Registrations." American LegalNet, Inc. www.FormsWorkFlow.com