C-150B Rev. 3/96 New Jersey Division of Revenue Certificate of Termination of Corporate Alternate Name (For Use by Domestic and Foreign Profit Corporations) Pursuant to N.J.S.A. 14A:2-2.1 (3), the provisions of the above-cited Statute, the undersigned corporation hereby applies for the termination of its Corporate Alternate Name, and for that purpose submits the following application: 1. Name of Corporation: 2. Corporation Number: 3. Alternate Name: 4. The Corporation has ceased to use the Alternate Name. Signature: Name: (Same as Above Name) Date: Title: (Must be Ch. of Bd. Pres. or Vice Pres.) NJ Division of Revenue, PO Box 308, Trenton, NJ 08646 American LegalNet, Inc. www.FormsWorkflow.com Rev 2/7/06 Instructions for Form C-150B TERMINATION OF ALTERNATE NAME DOMESTIC and FOREIGN PROFIT CORPORATIONS ONLY (Title14A) STATUTORY FEE: $75 The MANDATORY fields are: Field # 1 -- Business Name List the name as it appears on the records of the State Treasurer. Field # 3 -- Alternate Name List the registered alternate name being terminated. ATTESTATIONS Provide a statement that indicates the corporation has ceased to use the alternate name. EXECUTION (Applicant's Signature/Date) Have the chairman, president or vice-president sign. Also, list the date of execution (signature). ********** These documents should be filed in duplicate. Non-profits should file in triplicate. Make checks payable to: TREASURER, STATE Of NEW JERSEY. (No cash, please) Mail to: NJ Division of Revenue, PO Box 308, Trenton NJ 08646 FAX File: 609.984.6851 (Fax Filing is an optional expedited service subject to processing fees that are in addition to those stated above. For FAX Filing information , visit http://www.state.nj.us/treasury/revenue/dcr/programs/ffs.html. ) American LegalNet, Inc. www.FormsWorkflow.com