District of Columbia Government Corporations Division Application for Certificate of Authority for Foreign Business & Professional Corporation Form FBU-1, Version 6 , July 2010. Use this form to register foreign business (for-profit) or professional corporation. ENTITY TYPE Foreign Business and/or Professional Corporation FILING FEE Refer to Corporate Fee Schedule posted online. Pursuant to the provisions of Business Corporation Act and Professional Corporation Act (D.C. Code, Title 29, Chapters 1 and 4), the undersigned corporation hereby applies for a Certificate of Authority to transact business in the District of Columbia, and for that purpose submits the following statement: 1. Entity Name. 2. Corporate Designation elected in the District of Columbia. 3. Incorporated under the laws of which state or country. 4. Date of Incorporation. 5. Term of Existence. 6. Date commenced or will commence transacting business in the District of Columbia. 7. Address of the corporation in the state where it is incorporated. 8. Name of Registered Agent and address of registered office in District Columbia. 9. Briefly describe the specific proposed activity the corporation will transact in the District of Columbia. 10. FOR PROFESSIONAL CORPORATIONS ONLY: Employee (officer, director) of the professional corporation that will perform professional services in the District of Columbia must be duly licensed before rendering such service. 11. List all corporation directors and officers (attach list if needed): TITLE NAME ADDRESS 12. Attach an original Certificate of Good Standing (Certificate of Existence) from Registration Authority in the State/Country of Incorporation that is not over 30 days old. 13. Select corporate officer executing this form: 14. Signature: President Vice-President 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. 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