State of New Hampshire Filing fee: $50.00 Fee for Form SRA: $50.00 Total fees: $100.00 Use black print or type. Form PLLC-1 RSA 304-C:12 & RSA 304-D Form must be single-sided, on 8½” x 11” paper; double sided copies will not be accepted. CERTIFICATE OF FORMATION NEW HAMPSHIRE PROFESSIONAL LIMITED LIABILITY COMPANY THE UNDERSIGNED, UNDER THE NEW HAMPSHIRE LIMITED LIABILITY COMPANY LAWS SUBMITS THE FOLLOWING CERTIFICATE OF FORMATION: FIRST: The name of the professional limited liability company is . SECOND: The nature of the primary business or purposes are . THIRD: The name of the professional limited liability company's registered agent is and the street address, town/city (including zip code and post office box, if any) of its registered office is (agent's business address) . FOURTH: The latest date on which the professional limited liability company is to dissolve is . FIFTH: The management of the professional limited liability company managers. vested in a manager or SIXTH: The sale or offer for sale of any ownership interests in this business will comply with the requirements of the New Hampshire Uniform Securities Act (RSA 421-B). *Signature: Print or type name: Title: (Enter "manager" or "member") Date signed: *Must be signed by a manager; if no manager, must be signed by a member. 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 fees, DATED AND SIGNED ORIGINAL AND FORM SRA to: Corporate Division, Department of State, 107 North Main Street, Concord NH 03301-4989. 5/07 PLLC-1 V-1.0 American LegalNet, Inc. www.FormsWorkflow.com