CERTIFICATE OF AUTHORITY APPLICATION FOREIGN LIMITED LIABILITY COMPANY SECRETARY OF STATE SFN 19381 (09-2015) For Office Use Only ID Number: WO Number: Filed: By: SEE INSTRUCTIONS FOR FEE, FILING AND MAILING INFORMATION TYPE OR PRINT LEGIBLY *Filing fee of $135 *Current CERTIFICATE OF GOOD STANDING or CERTIFICATE OF EXISTENCE duly authenticated by the organizing officer of the state or country of organization 2. Type of limited liability company applying for certificate of authority (check one) For reference, see North Dakota Century Code, Sections 10-31-01, 10-31-13.1 and 10-32.1-75 Certificate of professional license 1. The application is accompanied by the following: Signed Consent to Use Business Name and fee of $10 Trade Name Registration and fee of $25 3. Federal ID Number Foreign Business Foreign Professional 4. Name of limited liability company EXACTLY as it appears on Certificate of Good Standing from state or country of origin 5. If applicable, provide the trade name and complete the Trade Name Registration form if selected trade name is not already registered in North Dakota. Only provide the trade name in this line if: a) The "new" limited liability company name is not in the form as required of limited liability companies in North Dakota. b) The Secretary of State has notified the limited liability company that its "new" name is the same or deceptively similar to a name already registered, and the limited liability company is unable to obtain Consent to Use Business Name from the previous filer or a certified copy of a final decree of a court of competent jurisdiction establishing prior right of this limited liability company to use of the name in North Dakota. c) The limited liability company does not wish to use or protect its "new" name in North Dakota and chooses to use a name other than its limited liability company name. 6. Complete 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. 7. State or Country Where Organized 9. Telephone Number 11A. Name of commercial registered agent in North Dakota 8. Limited liability company will expire in state or country of origin (check one) Perpetual Expires - Specify date: 10. Toll Free Telephone Number OR 11B. Name of noncommercial registered agent in North Dakota 11C. 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. 12. Nature of business or activities the limited liability company conducts or intends to conduct in North Dakota 13. Managers and governors of the limited liability company (attach additional sheet, if necessary) Manager also serves COMPLETE MAILING ADDRESS as Governor MANAGERS Street/Rural Route Post Office Box City State ZIP+4 Managing Member Managing Member 14. "The undersigned has read the foregoing application, knows the contents, and believes the statements to be true. I further authorize the Secretary of State to correct numbers 4, 7, 11A, 11B, and 11C if not correctly reflected. I understand that if I make a false statement in this document, I may be subject to criminal penalties." Signature 15. Name of Person to Contact About This Document Email Address Date Daytime Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com SFN 19381 (09-2015) Page 2 of 3 CERTIFICATE OF AUTHORITY APPLICATION FOREIGN LIMITED LIABILITY COMPANY No foreign business limited liability company, and no foreign professional limited liability company, may transact business, or render professional services, in North Dakota, or obtain any license or permit required by North Dakota law, until a certificate of authority has been obtained from the Secretary of State. An application for certificate of authority must be accompanied by a current CERTIFICATE OF GOOD STANDING or CERTIFICATE OF EXISTENCE. The Certificate of Good Standing or Certificate of Existence must have been certified within 90 days by the organizing officer of the state or country in which the limited liability company is organized. An application of a foreign professional limited liability company must also be accompanied by a certificate from the North Dakota licensing board for that profession, verifying that the practitioners of the limited liability company have been licensed to provide the professional service. Instructions: The following numbered instructions correspond to the numbers on the form. 1. Check all the attachments applicable to this application. Those items preceded by an * are required for all applications. All forms must be received and all fees must be paid before the certificate of authority can be issued. FILING FEES: Certificate of Authority $135 Consent to Use Business Name $10 Trade Name Registration $25 (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, or Discover.) 2. Indicate whether the application is being submitted for a Certificate of Authority for a foreign business limited liability company or a foreign professional limited liability company. 3. While the federal ID number is not required to be disclosed, a limited liability company'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 10-32.1-95, social security or Federal ID numbers are not disclosed to the public. They are used by the Secretary of State to maintain accurate limited liability company files. Therefore, while voluntary disclosure is requested, failure to do so will not result in rejection of the application. 4. Provide the correct name as authorized in the state or country of organization. Punctuation and abbreviations must be consistent with those in the name on the certificate from the organizing officer of the state or country where organized. If the name in number 4 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 reviewed. 5. Provide the trade name and the Trade Name Registration form with $25 if the limited liability company cannot use its name because: a) The limited liability company name is not in the form as required of a limited liability company in North Dakota. The name must be expressed in letters or characters in the English languag