Application for Authority to Transact Business - Nonprofit Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - http://www.FilingInOregon.com - Phone: (503) 986-2200 REGISTRY NUMBER: For office use only In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record. We must release this information to all parties upon request and it will be posted on our website. For office use only Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary. 1) NAME OF CORPORATION: NOTE: Must be identical to the name of record in home jurisdiction. 2) REGISTRY NUMBER IN HOME JURISDICTION 7) ADDRESS OF PRINCIPAL OFFICE OF THE BUSINESS: OR: CERTIFICATE OF EXISTENCE (ATTACHED) (Address, city, state, zip) (Please provide a web-verifiable registry number from the entity's home jurisdiction. Certain states, such as Delaware and New Jersey, do not provide status information online. Entities from such places must instead attach an official certificate of existence, current within 60 days of delivery to this office.) 3) DATE OF INCORPORATION: DURATION, IF NOT PERPETUAL: 8) NAME OF OREGON REGISTERED AGENT: 9) REGISTERED AGENT'S PUBLICLY AVAILABLE ADDRESS: (Must be an 4) STATE OR COUNTRY OF INCORPORATION: Oregon Street Address which is identical to the registered agent's business office.) 5) TYPE OF CORPORATION: PUBLIC BENEFIT MUTUAL BENEFIT RELIGIOUS 10) ADDRESS FOR MAILING NOTICES: 6) WILL THE CORPORATION HAVE MEMBERS? YES NO 11) NAME AND ADDRESS OF PRESIDENT AND SECRETARY: ORS 65.001(28) (a) "Member" means any person or persons entitled, pursuant to a domestic or foreign corporation's articles or bylaws, without regard to what a person is called in the articles or bylaws, to vote on more than one occasion for the election of a director or directors. (b) A person is not a member by virtue of any of the following rights the person has: (A) As a delegate; (B) To designate or appoint a director or directors; (C) As a director; or (D) As a holder of an evidence of indebtedness issued or to be issued by the corporation. (c) Notwithstanding the provisions of paragraph (a) of this subsection, a person is not a member if the person's membership rights have been eliminated as provided in ORS 65.164 or 65.167. President: Address: Secretary: Address: 12) EXECUTION: (Must be signed by at least one officer or director.) By my signature, I declare as an authorized authority, that this filing has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete. Making false statements in this document is against the law and may be penalized by fines, imprisonment or both. Signature: Printed Name: Title: CONTACT NAME: (To resolve questions with this filing.) FEES Required Processing Fee $50 Please make check payable to "Corporation Division." Processing Fees are nonrefundable. PHONE NUMBER: (Include area code.) Free copies are available at FilingInOregon.com, using the Business Name Search program. 60 - Application for Authority to Transact Business - Nonprofit (03/12) American LegalNet, Inc. www.FormsWorkFlow.com NONPROFIT CORPORATION TYPE ­ Article 5 PLEASE READ CAREFULLY Nonprofit corporations are required to be classified in one of three categories. For most nonprofit corporations, the following tests apply: 1. "Religious" corporation means a corporation which is organized primarily or exclusively for religious purposes. These corporations may be tax-exempt under 501(c)(3). 2. "Public benefit" corporation means a corporation which: (a) is tax exempt under section 501(c)(3) of the Internal Revenue Code or is organized for a public or charitable purpose; (b) on dissolution must distribute its assets to an organization organized for public or charitable purpose, to a religious corporation, to the United States, to a state or to an organization which is tax exempt under section 501(c)(3) of the Internal Revenue Code; and (c) does not come within the definition of religious corporation. 3. "Mutual benefit" corporation means a corporation which is organized to provide benefits for their members or a small group of people, and does not come within the definition of public benefit or religious corporation. These corporations are not tax-exempt under 501(c)(3), but may be tax-exempt under some other section of law. 60 - Application for Authority to Transact Business - Nonprofit (01/12) American LegalNet, Inc. www.FormsWorkFlow.com