New York State Department of State Division of Corporations, State Records and Uniform Commercial Code One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 www.dos.state.ny.us CERTIFICATE OF TYPE OF NOT-FOR-PROFIT CORPORATION OF (Exact name of corporation) Under Section 113 of the Not-for-Profit Corporation Law The present name of the corporation is: (If the name of the corporation has been changed, the name under which it was formed is: . .) The certificate of incorporation was filed by the Department of State on (must include month, day and year) . The corporation was formed pursuant to (cite incorporation statute) . THAT the Secretary of State is designated as agent of the corporation upon whom process may be served. The address to which the Secretary of State shall mail a copy of such process is: . THAT under Section 201, it is a Type _____ (insert A, B, C or D) not-for-profit corporation as defined in this chapter. To be signed pursuant to Section 104(d) of the NPCL. X (Signature) (Type or print name) (Title or capacity of signer) DOS-640 (Rev. 3/08) -1American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF TYPE OF NOT-FOR-PROFIT CORPORATION OF (Exact name of corporation) Under Section 113 of the Not-for-Profit Corporation Law Filed by: (Name) (Mailing address) (City, State and Zip code) NOTE: The fee for filing this certificate is $30. Check or money order should be made payable to the Department of State. Every corporation required to file under Paragraph (a) of Section 113 of the NPCL will be considered a Type B corporation until it has filed a certificate of type. -2American LegalNet, Inc. www.FormsWorkFlow.com