CERTIFICATE OF AUTHORITY APPLICATION FOREIGN CORPORATION SECRETARY OF STATE SFN 13100 (01-2016) For Office Use Only ID Number: WO Number: Filed: By: 1A. The application MUST be accompanied by ALL of the following: · Filing fee of $145 if a Foreign Business or Professional Corporation · Filing fee of $50 if a Foreign Nonprofit Corporation · Current CERTIFICATE OF GOOD STANDING or CERTIFICATE OR EXISTENCE verifying corporate existence certified by the incorporating officer of the state or country of incorporation 1B. The following MAY be required: · Certificate of Professional License from the North Dakota licensing board for the profession · Signed Consent to Use Business Name and fee of $10 · Trade Name Registration and fee of $25 SEE INSTRUCTIONS FOR FEES, FILING, AND MAILING INFORMATION TYPE OR PRINT LEGIBLY For reference, see North Dakota Century Code, Section 10-19.1-135 or 10-33-125. 2. Type of corporation applying for certificate of authority (check one) Foreign Business Foreign Professional Foreign Nonprofit 3A. Name of corporation EXACTLY as it appears on Certificate of Good Standing or Certificate of Existence from 3B. Federal ID Number state or country of origin 3C. If applicable, provide the trade name and complete the Trade Name Registration form if: a. The corporate name in number 3A is not in the form as required of corporations in North Dakota. b. The Secretary of State has notified the corporation that its corporate name is the same or deceptively similar to a name already registered, and the corporation is unable to obtain consent to use of name from the previous filer or a certified copy of a final decree of a court of competent jurisdiction establishing prior right of this corporation to use of the name in North Dakota. c. The corporation does not wish to use or protect its corporate name in North Dakota and chooses to use a name other than its corporate name. 4. Complete mailing address of principal executive office (Street/RR, PO Box, City, State, ZIP+4) Street address MUST be provided; may not be only a post office box. 5A. State or country where incorporated 5D. Telephone Number 6A. Name of commercial registered agent in North Dakota 5B. EXACT date incorporated (M/D/Y) 5C. Duration of corporation (check one) Perpetual Other - Specify date: 5E. Toll-Free Telephone Number 6B. Name of noncommercial registered agent in North Dakota OR 6C. Address of noncommercial registered agent in North Dakota (Street/RR, PO Box, City, State, ZIP+4) Street address MUST be provided; may not be only a post office box. 7. Nature of business or activities the corporation conducts or intends to conduct in North Dakota 8. Officer also serves as director PRESIDENT VICE PRESIDENT SECRETARY TREASURER DIRECTOR DIRECTOR 9. "I, the undersigned, am a person authorized by the corporation to sign this application, know the contents, and believe the statements to be true. I further authorize the Secretary of State to correct numbers 3A, 5A, 5B, 6A, 6B and 6C if not correctly reflected. I understand that if I make a false statement in this document, I may be subject to criminal penalties." Signature Date Daytime Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com OFFICERS AND DIRECTORS OF THE CORPORATION COMPLETE MAILING ADDRESS NAME Street/RR PO Box City State ZIP+4 10. Name of person to contact about this document Email Address SFN 13100 (01-2016) Page 2 of 3 CERTIFICATE OF AUTHORITY APPLICATION - FOREIGN CORPORATION No foreign corporation may transact business, or conduct affairs, in North Dakota, OR obtain any license or permit required by North Dakota law, until the corporation has obtained a Certificate of Authority from the Secretary of State. Instructions: The following numbered instructions correspond to the numbers on the form. 1A. The application for Certificate of Authority MUST be accompanied by ALL of the following before the Certificate of Authority can be issued: · FILING FEE of $145 if a foreign business or professional corporation, OR $50 if a foreign nonprofit corporation. (Checks must be payable to "Secretary of State" and must be for U.S. negotiable funds. Payment may also be made by credit card using Visa, MasterCard, Discover, or American Express.) · Current certificate of good standing or certificate of existence verifying corporate existence certified by the incorporating officer of the state or country of incorporation. A copy of the Articles of Incorporation is not acceptable. The certificate must have been certified within 90 days of the date of application. 1B. The application for Certificate of Authority MAY BE REQUIRED to be accompanied by the following: · If applicant is a foreign professional corporation, it must submit a Certificate of Professional License from the North Dakota licensing board for the profession verifying that the practitioners of the corporation have been licensed to provide the professional service. · A signed Consent to Use Business Name AND fee of $10 when the corporation is already aware of a conflict with its corporate name. · Trade Name Registration AND fee of $25 when the corporation assumes a name, other than its corporate name, for use in North Dakota. 2. Indicate whether the application is being submitted for a Certificate of Authority for a foreign business corporation, a foreign professional corporation, or a foreign nonprofit corporation. 3A. Provide the correct corporate name as incorporated in the state or country of organization. Punctuation, spaces, and abbreviations must be consistent with those in the name on the certificate from the incorporating officer of the state or country where incorporated. If the name in number 3A is not the same as reflected on the Certificate of Good Standing or Certificate of Existence, the name will be corrected by the Secretary of State when the document is received. 3B. While the federal ID number is not required to be disclosed, a corporation's Federal ID number is helpful for maintaining accurate records. Please provide, if you have one. PRIVACY: In compliance with N.D.C.C. Section 10-19.1-149.1, Federal ID numbers are not disclosed to the public. They are used by the Secretary of State to maintain accurate corporate files. Therefore, while voluntary disclosure is requested, failure to do so will not result in rejection of the document. 3C. Provide a trade name if the corporation cannot use its corporate name because: a. The corporate name is not in the form as required of a