STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 148 W. River Street Providence, Rhode Island 02904-2615 (401) 222-3040 INSTRUCTIONS FOR FILING APPLICATION FOR REGISTRATION OF CORPORATE NAME Section 7-1.2-404 of the General Laws of Rhode Island, 1956, as amended The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision. This form and the information provided are not substitutes for the advice and services of an attorney and/or tax specialist. 1. Any corporation organized and existing under the laws of any state or territory of the United States may register its corporate name pursuant to the provisions of Chapter 7-1.2-404 by filing an Application for Registration of Corporate Name (Form No. 622) with the Office of the Secretary of State, Corporations Division, at the above address. When the Application for Registration of Corporate Name has been completed, signed and submitted with the correct filing fee, a Certificate of Registration of Corporate name shall be issued. 2. The corporate name must be “distinguishable upon the records of the secretary of state.” This means the Office of the Secretary of State will deny a request for a name if such name is identical to or not distinguishable from any entity, name reservation, or registration on file with the Business Section of the Corporations Division. A preliminary name availability check can be made by checking the Name Availability Database on our website, or by phoning us at the above telephone number. This preliminary check is not statutorily required, is not binding upon the Secretary of State, and does not ensure that the name will be available upon filing the Articles of Incorporation. It is suggested that you do not make any financial expenditures or execute documents utilizing the name based upon a preliminary name availability check. The final determination as to availability of the name will be made when the documents are submitted for filing. 3. If the name is determined to be available and the application has been completed, signed and submitted with the correct filing fee and Certificate of Good Standing as noted in item 4 below, a Certificate of Registration of Corporate Name will be issued. 4. The Application for Registration of Corporate Name must be accompanied by a Certificate of Good Standing under the laws of the state or territory wherein it is organized, executed by the secretary of state of the state or territory or by any other official that may have custody of the records pertaining to corporations. The Certificate of Good Standing must be dated within sixty (60) days of the filing of the Application for Registration of Corporate Name. 5. The filing fee for an Application for Registration of Corporate Name is $50.00, and payment should be made payable to the Rhode Island Secretary of State. 6. The Application for Registration of Corporate Name must be executed by an authorized officer of the corporation. 7. The Registration of Corporate Name shall be effective for a period of one year from the date of filing. A renewal application must be filed prior to the expiration of the one-year period from the filing of the original application for registration or its last renewal and extends the registration for the following year. If you have any questions, please call us at (401) 222-3040, Monday through Friday, between 8:30 a.m. and 4:30 p.m. Instructions/Form 622 Revised: 12/05 American LegalNet, Inc. www.USCourtForms.com Filing Fee: $50.00 STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 148 W. River Street Providence, Rhode Island 02904-2615 BUSINESS CORPORATION ____________ APPLICATION FOR REGISTRATION OF CORPORATE NAME Pursuant to the provisions of Section 7-1.2-404 of the General Laws of Rhode Island, 1956, as amended, the undersigned foreign corporation applies for the registration of its corporate name for a period of one year from the date of this filing, and submits the following statement: 1. The name of the corporation is 2. The corporation is incorporated under the laws of 3. The date of its incorporation is 4. The corporation is carrying on or doing business. 5. The business in which it is engaged is 6. This application is accompanied by (a) a certificate setting forth that the corporation is in good standing under the laws of the state or territory wherein it is organized, executed by the secretary of state of the state or territory or by any other official that may have custody of the records pertaining to corporations; and (b) the required registration fee. Under penalty of perjury, I declare and affirm that I have examined this Application for Registration of Corporate Name, including any accompanying attachments, and that all statements contained herein are true and correct. Date: Signature of Authorized Officer of the Corporation Type or Print Name of Authorized Officer Submitted By: Name Address Form No. 622 Revised: 12/05 American LegalNet, Inc. www.USCourtForms.com