CSCL/CD-546 (Rev. /1) MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRSCORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU Date Received (FOR BUREAU USE ONLY)This document is effective on the date filed, unless asubsequent effective date within 90 days after receiveddate is stated in the document.EFFECTIVE DATE: NameAddressCityStateZIP Code Document will be returned to the name and address you enter above.If left blank, document will be returned to the registered office. CERTIFICATE OF TERMINATION OF REGISTRATION OF CORPORATE NAMEFor use by Foreign Corporations(Please read information and instructions on the last page)Pursuant to the provisions of Act 284, Public Acts of 1972, the undersigned execute the following Certificate: 1.The name of the corporation is: 2.The identification number assigned by the Bureau is: 3. The mail address of the corporation is: Signed thisday of, By(Signature) (Type or Print Name) 4.The jurisdiction of its incorporation is: The date it was incorporated in that jurisdiction is: 5.The Registration of Corporation Name filed on theday of ,is hereby terminated. American LegalNet, Inc. www.FormsWorkFlow.com CSCL/CD-546 (Rev. /1)Preparer's NameBusiness elephone umber( ) Submit with check or money order by mail: Michigan Department of Licensing and Regulatory Affairs Corporations, Securities & Commercial Licensing Bureau Corporations Division P.O. Box 30054 Lansing, MI 48909To submit in person:2501 Woodlake CircleOkemos, MITelephone: (517) 241-6470 Fees may be paid by check, money order, VISAMasterard when delivered in person to our office. INFORMATION AND INSTRUCTIONS1.This form may be used to draft your Certificate of Termination of Registration of Corporate Name. A document required or permittedto be filed under the act cannot be filed unless it contains the minimum information required by the act. The format provided containsonly the minimal information required to make the document fileable and may not meet your needs. This is a legal document andagency staff cannot provide legal advice.2.Submit one original of this document. Upon filing, the document will be added to the records of the Corporations, Securities &Commercial Licensing Bureau. The original will be returned to your registered office address unless you enter a different address inthe box on the front of this document.Since this document will be maintained on electronic format, it is important that the filing be legible. Documents with poor black andwhite contrast, or otherwise illegible, will be rejected. LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individualswith disabilities.3.This Certificate is to be used pursuant to Section 1056 of Act 284, P.A. of 1972, to terminate a corporate name registered by aforeign profit corporation.4.Item 2 - Enter the identification number assigned by the Bureau. If this number is unknown, leave it blank.5.The Certificate must be signed by an authorized officer or agent of the corporation.6.NONREFUNDABLE FEES: Make remittance payable to the State of Michigan. Include corporation name and identification number on check or money order...............................................................................................................................................................$10.00 American LegalNet, Inc. www.FormsWorkFlow.com Optional expedited service.Expedited review and filing, if fileable, is available for all documents for profit corporations, limitedliability companies, limited partnerships and nonprofit corporations.The nonrefundable expedited service fee is in addition to the regular fees applicable to the specificdocument. Please complete a separate CSCL/CD-272 form for expedited service for each document submittedin person. 24-hour service - $50 for formation documents and applications for certificate of authority.24-hour service - $100 for any document concerning an existing entity.Same day service Same day - $100 for formation documents and applications for certificate ofauthority.Same day - $200 for any document concerning an existing entity.Review completed on day of receipt. Document and request for same day expeditedservice must be received by 1 p.m. EST OR EDT.Two hour - $500Review completed within two hours on day of receipt. Document and request for two hourexpedited service must be received by 3 p.m. EST OR EDT.One hour - $1000Review completed within one hour on day of receipt. Document and request for 1 hourexpedited service must be received by 4 p.m. EST OR EDT.Documents submitted by mail are delivered to a remote location for receipts processing and arethen forwarded to the Corporations Division for review. Day of receipt for mailed expedited servicerequests is the day the Corporations Division receives the request. Rev. American LegalNet, Inc. www.FormsWorkFlow.com