Application for Authority to Transact Business - Foreign Limited Liability Company Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 sos.oregon.gov/business - 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. W e 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: NOTE: (Must contain the words Limited Liability Com or the abbreviations LLC or L.L.C.) Must be identical to the name of record in home jurisdiction. 2) REGISTRY NUMBER IN HOME JURISDICTION 7) REGISTERED AGENT'S PUBLICLY AVAILABLE ADDRESS: OR: CERTIFICATE OF EXISTENCE (ATTACHED) (Must be an Oregon Street Address, which is identical to the registered agen business office.) (Please provide a web-verifiable registry number from the entitys 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 ORGANIZATION: DURATION, IF NOT PERPETUAL: 8) ADDRESS OF PRINCIPAL OFFICE OF THE BUSINESS: 4) STATE OR COUNTRY OF ORGANIZATION: 9) ADDRESS WHERE THE DIVISION MAY MAIL NOTICES: 5) THIS FOREIGN LIMITED LIABILITY COMPANY SATISFIES THE REQUIREMENTS OF ORS 63.714(3). 10) HOW WILL THIS LIMITED LIABILITY COMPANY BE MANAGED? 6) NAME OF OREGON REGISTERED AGENT: This LLC will be member-managed by one or more members. This LLC will be manager-managed by one or more managers. 11) EXECUTION: (At least one member or manager must sign.) I declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, fraudulently obscure, fraudulently alter or otherwise misrepresent the identity of the person or any members, managers, employees or agents of the limited liability company. 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 th is 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 $275 PHONE NUMBER: (Include area code.) Processing Fees are nonrefundable. Please make check payable to Corporation Division. Free copies are available at sos.oregon.gov/business, using the Business Name Search program. 110 - Application for Authority to Transact Business - Foreign Limited Liability Company (11/17) American LegalNet, Inc. www.FormsWorkFlow.com