State of New Hampshire APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY FOR PROFIT FOREIGN CORPORATION NOTES FOR COMPLETING Form 42 (RSA 293-A:15.04) Notes: 1. If the name of the corporation does not contain the word "Corporation", "Incorporated" or "Limited" or an abbreviation "Corp.", "Inc." or "Ltd.", insert the name of the corporation with the word or abbreviation which it elects to add thereto for use in New Hampshire. OR If a professional corporation, RSA 294-A:7 requires the name shall end in "Professional Corporation", "Professional Association", "Prof. Corp.", "Prof. Ass'n.", "P.C." or "P.A." OR If the corporate name is not available for use in New Hampshire, enter the name to be used in New Hampshire. In this case a trade name application must be filed with an additional $50.00 fee and a copy of a board of directors' resolution to use the trade name in New Hampshire. The board of directors' resolution must be signed by the SECRETARY of the corporation. (A corporate designation cannot be used on the trade name.) 2. Exact corporate name of corporation making the application. 3. Signature and title of person signing for the corporation. Must be signed by chairman of the board of directors, president or another officer; or see RSA 293-A:1.20(f) for alternative signatures. 4. An ORIGINAL certificate of legal existence or good standing must accompany this application. (Photocopies or fax copies will not be accepted.) The certificate must be duly authenticated within 60 days of the filing of this application by the proper officer of the state or country under the laws of which the corporation was organized or from the new state of incorporation if the state or country of incorporation has been changed. (A certificate of good standing regarding taxes from a state department of revenue administration is not acceptable.) Mail fee and DATED AND SIGNED ORIGINAL WITH A CERTIFICATE OF LEGAL EXISTENCE OR GOOD STANDING ISSUED BY THE STATE OR COUNTRY OF INCORPORATION (Note 4) to: Corporate Division, Department of State, 107 North Main Street, Concord NH 03301-4989. Form 42 Instruct American LegalNet, Inc. www.FormsWorkflow.com State of New Hampshire Filing fee: $35.00 Use black print or type. Form 42 RSA 293-A:15.04 Leave 1" margins both sides. APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY FOR PROFIT FOREIGN CORPORATION PURSUANT TO THE PROVISIONS OF THE NEW HAMPSHIRE BUSINESS CORPORATION ACT, THE UNDERSIGNED CORPORATION HEREBY APPLIES FOR AN AMENDED CERTIFICATE OF AUTHORITY TO TRANSACT BUSINESS IN NEW HAMPSHIRE AND FOR THAT PURPOSE SUBMITS THE FOLLOWING STATEMENT: FIRST: The name of the corporation is: . SECOND: The name the corporation is currently using in the state of New Hampshire is: . THIRD: The state or country of incorporation is: . FOURTH: The date the corporation was authorized to transact business in the state of New Hampshire is: . FIFTH: This application is filed for the following reason (complete all applicable items) a. The corporation has changed its corporate name to: b. The name the corporation will hereafter use in the state of New Hampshire is changed to: (Note 1). c. The corporation has changed its period of duration to: . d. The corporation has changed the state or country of its incorporation to . (Note 2) (Corporate Name) (Note 3) (Signature) (Print or type name) (Note 3) (Title) Date signed: DISCLAIMER: All documents filed with the Corporate Division become public records and will be available for public inspection in either tangible or electronic form. Mail fee and DATED AND SIGNED ORIGINAL WITH A CERTIFICATE OF LEGAL EXISTENCE OR GOOD STANDING ISSUED BY THE STATE OR COUNTRY OF INCORPORATION (Note 4) to: Corporate Division, Department of State, 107 North Main Street, Concord NH 03301-4989. Form 42 [11/2008] American LegalNet, Inc. www.FormsWorkflow.com