State of New Hampshire Registration fee: $25.00 Use black print or type. Form 7 RSA 293-A:4.04 APPLICATION FOR RENEWAL OF REGISTERED NAME (A FOR PROFIT FOREIGN CORPORATION) PURSUANT TO THE provisions of the New Hampshire Business Corporation Act, the undersigned corporation hereby applies for a renewal of the registration of its corporate name to and including December 31, _______, and submits the following statement: FIRST: The name of the corporation is . SECOND: It is incorporated under the laws of THIRD: The date of its incorporation is . . FOURTH: It is carrying on or doing business. FIFTH: The business in which it is engaged is . SIXTH: This application is accompanied by (a) a certificate setting forth that the corporation is in good wherein it is incorporated, executed by the standing under the laws of official having custody of the records pertaining to corporations in that state or territory and (b) a registration fee of $25.00 as required by Section 1.22. (Corporate Name) (Corporate address) (No.) (Street) (City/Town) (State) (Zip Code) Contact Information: (Telephone) (Email) (Note 1) (Signature) (Print or type name) (Note 1) (Title) Date signed: Note: 1. 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. This renewal application may be filed between October 1 and December 31. DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for public inspection in either tangible or electronic form. Mail fee, DATED AND SIGNED ORIGINAL WITH ORIGINAL CERTIFICATE OF GOOD STANDING to: Corporation Division, Department of State, 107 North Main Street, Concord, NH 03301-4989. Physical location: 25 Capitol rd Street, 3 Floor, Concord, NH 03301. American LegalNet, Inc. www.FormsWorkFlow.com Form 7 (8/2012)