COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . FOREIGN .LIMITED LIABILITY ......... .. ............. .. : COMPANY REGISTRATION Index No. F O R O F F I C E (Per Chapter 25.15 RCW) FEE: Calendar No. $175 : • Please PRINT or TYPE in black ink • Sign, date and return original AND ONE COPY to: EXPEDITED (24-HOUR) SERVICE AVAILABLE – $20 PER ENTITY INCLUDE FEE AND WRITE “EXPEDITE” IN BOLD LETTERS ON OUTSIDE OF ENVELOPE : Plaintiff(s) CORPORATIONS DIVISION 801 CAPITOL WAY SOUTH • PO BOX 40234 -againstOLYMPIA, WA 98504-0234 JUDICIAL SUBPOENA FOR OFFICE USE ONLY FILED: • BE SURE TO INCLUDE FILING FEE. Checks should be made payable to “Secretary of State” / / CORPORATION NUMBER: IMPORTANT! Person to contact about this filing : U S E O N L Y UBI: : Daytime Phone Number (with area code) : Defendant(s) : ...................................................... NAME AND PRINCIPAL OFFICE ADDRESS OF THE LIMITED LIABILITY COMPANY (As recorded in the state/country of formation) LLC Name* City Address THE PEOPLE OF THE STATE OF NEW YORK Country State or ZIP or Postal Code NAME AND ADDRESS THE LLC PROPOSES TO REGISTER IN WASHINGTON STATE* (If different from above) TO Address LLC Name* City State or Country ZIP or Postal Code *Name mustGREETINGS: “Limited Liability Company” “Limited Liability Co.” “L.L.C.” or “LLC” contain the words LLC WAS ORIGINALLY FORMED IN DATE LLC BEGAN LLC WILL BE MANAGED BY DOING BUSINESS IN F WE COMMAND YOU, that all business and excuses being laid aside, you andManager you attend before each of O Member WASHINGTON STATE ON Date State/Country R , the Honorable at the Court O EFFECTIVE DATE (Specified effective date may be up to 90 days AFTER receipt of the document by the Secretary of State) F located at County of OF REGISTRATION F I Upon filing by the Secretary of State C in room Specific Date: the , on day of , 20 , at o'clock in the noon, and at any recessed E STATEMENT OF adjourned date, toduly authenticated statement from the witness in State action on the having custody of such or Attached is a testify and give evidence as a Secretary of this (or other official part of the U AUTHENTICATION S E records) of the state or country of formation, declaring that, as of the date of filing in Washington state, the Limited Liability Company validly exists under the laws of the jurisdiction in which it was formed. O N L Y NATURE OF BUSINESS TO BE CONDUCTED IN WASHINGTON STATE (If necessary, attach additional information) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. NAME AND ADDRESS OF WASHINGTON STATE REGISTERED AGENT Name Witness, Honorable Court in County, , one of the Justices of the day of Street Address (Required) , 20 City PO Box (Optional – Must be in same city as street address) State ZIP ZIP (If different than street ZIP) (Attorney must sign above and type name below) I consent to serve as Registered Agent in the State of Washington for the above named LLC. I understand it will be my responsibility to accept Service of Process on behalf of the LLC; to forward mail to the LLC; and to immediately notify the Office of the Secretary of State if I resign or change the Registered Office Address. Attorney(s) for Signature of Agent Printed Name Date NAMES AND ADDRESSES OF EACH PERSON EXECUTING THIS CERTIFICATE (If necessary, attach additional names and addresses) Printed Name Address Signature City Printed Name Address State/Country Signature City Office and P.O. Address ZIP/Postal Code Telephone No.: Facsimile No.: E-Mail Address: State/Country ZIP/Postal Code Mobile Tel. No.: INFORMATION AND ASSISTANCE – 360/753-7115 (TDD – 360/753-1485) F O R O F F I C E U S E O N L Y 025-002 (9/00) American LegalNet, Inc. www.USCourtForms.com