COMMONWEALTH OF KENTUCKY TREY GRAYSON SECRETARY OF STATE APPLICATION FOR REGISTRATION OF FOREIGN BUSINESS TRUST Pursuant to the provisions of KRS Chapter 386, the undersigned hereby applies for registration on behalf of the business trust named below and for that purpose submits the following statements: 1. The name of the business trust is ___________________________________________________________________________________. 2. ___________________________ is the state or country of establishment. 3. ___________________________ is the date of establishment. 4. The name of the registered agent is ___________________________________________________________________________________ and the street address of the registered office in Kentucky is ___________________________________________________________________________________. Street City State Zip Code 5. The address of the principal office is ___________________________________________________________________________________. Address City State Zip Code 6. The name and the business address of each trustee is _______________________________________ _____________________________________________________ Name Address _______________________________________ _____________________________________________________ Name Address _______________________________________ _____________________________________________________ Name Address (Attach a continuation sheet, if necessary) 7. A duly authenticated copy of the declaration of trust accompanies this application. _________________________________________ Signature _________________________________________ Type or Print Name & Title Date: ___________________________, 20_______ FBT-100 (2/98) (See attached sheet for instructions) American LegalNet, Inc. www.USCourtForms.com Application for Registration of Foreign Business Trust Filing Instructions FOREIGN BUSINESS TRUST NAME State the name of the foreign business trust as filed in the state or country in which the business trust is established. STATE OF ESTABLISHMENT The state of establishment is the state or country under whose law the business trust was established. DATE OF ESTABLISHMENT The date of establishment is the date the business trust was established. REGISTERED AGENT AND REGISTERED OFFICE ADDRESS The registered agent may be an individual resident of Kentucky, a Kentucky corporation, a Kentucky nonprofit corporation or a foreign corporation, or a foreign nonprofit corporation authorized to transact business in this state. The registered office address must be a Kentucky address and contain a street address or other specific location (Highway, Rural Route, Building etc.). A mailing address consisting of only a post office box is not sufficient for the registered office address. PRINCIPAL OFFICE ADDRESS The business trust must list a principal office address. TRUSTEES List the name and business address of each trustee. Attach a continuation sheet, if necessary. AUTHENTICATED COPY A certified copy of the declaration of trust duly authenticated by the Secretary of State of the domiciled state must accompany this application. The certified copy must be an original and must not be older than six (6) months. A photocopy is not acceptable. WHO MAY SIGN One trustee must sign the application for registration of foreign business trust. NUMBER OF COPIES Submit one originally signed and two exact or conformed copies of the application for registration. (May be a photocopy). Two file-stamped copies will be returned as evidence of the filing. One file-stamped copy must then be filed with the county clerk of the county in which the registered office is situated. FILING FEE The filing fee is $15.00 Your check should be made payable to “Kentucky State Treasurer”. MAILING ADDRESS Trey Grayson Secretary of State P. O. Box 718 Frankfort, KY 40602-0718 OFFICE LOCATION Room 154, Capitol Building 700 Capital Avenue Frankfort, KY 40601 WEB SITE ADDRESS Our home page address is http://www.sos.state.ky.us/ Click on “On Line Business Database” for information on status of all business entities in Kentucky. Forms are also available on our web site. For name availability, call (502) 564-2848, press 2, and then press 1. For further information, call (502) 564-2848 press 2, and then press 5 or try our web site. American LegalNet, Inc. www.USCourtForms.com