State of New Hampshire PLEASE NOTE: American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 2 Form PLLC-1 State of New Hampshire Filing fee: $100.00 Form PLLC-1 Use black print or type. RSA 304-C:31 & RSA 304-D 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 . Principal Business Information: Principal Office Address: (no. & street) (city/town) (state) (zip code) Principal Mailing Address (if different): (no. & street) (city/town) (state) (zip code) Business Phone: Business Email: Please check if you would prefer to receive the courtesy Annual Report Reminder by email. SECOND: Describe the nature of the professional services as defined in RSA 304-D, including necessary related services, for which the professional limited liability company is organized (and if known, list the NAICS Code and Sub Code): . THIRD: The name of the professional limited liability company's registered agent is: . The complete address of its registered office (agent's business address) is: . (no. & street) (city/town) (state) (zip code) FOURTH: The management of the professional limited liability company vested in a manager or managers. American LegalNet, Inc. www.FormsWorkFlow.com American LegalNet, Inc. www.FormsWorkFlow.com