Instructions for FilingSection 7-1.2-1405 of the General Laws of Rhode Island, 1956, as amended þ name on your Status from the state or country of formation, which must 2. þ State the state or country under whose laws the þ þ þ þ for use in Rhode Island. A Fictitious Business Name Statement, Form 624A,þ if there is a designated dissolution date in the state or þ 6. State the name of the registered agent. The registered NOT a P.O. this address. þRhode Island. þ þ formed. þ þ 12. þ A from the state or country of formation dated within 60 days of the þ þ MUST sign and date the form. þ þ Rhode Island. þ 38-2-1 American LegalNet, Inc. www.FormsWorkFlow.com Section 7-1.2-1405 of the General Laws of Rhode Island, 1956, as amended þ þ RIGL 7-1.2-1414. þ , for further information. þ NOT result in a mailed online225 þ Go to our þ þ þ þ Rejected þ Prior approval required for Engineers: þ 462-9592 or Licensing requirements 226 all entities: þ þ . þ 222-5960 or . þ . þ . þ þ American LegalNet, Inc. www.FormsWorkFlow.com RIGL 7-1.2-1405 Agent Name NOTState FOR FOR American LegalNet, Inc. www.FormsWorkFlow.com NAME OFFICENAMETREASURER þ þ þ þ þ þ þ þ þ 10. An estimate, as a percentage11. An estimate, as a percentage American LegalNet, Inc. www.FormsWorkFlow.com from the state or country of American LegalNet, Inc. www.FormsWorkFlow.com Section 7-1.2-1602 of the General Laws of Rhode Island, 1956, as amended as a percentage as a percentage American LegalNet, Inc. www.FormsWorkFlow.com Filer Contact Information American LegalNet, Inc. www.FormsWorkFlow.com