Wyoming Secretary of State 2020 Carey Avenue, Suite 700 Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: Business@wyo.gov RAConsent 226 Revised October 2015 Consent to Appointment by Registered Agent I, , registered office located at (name of registered agent) voluntarily consent to serve * (registered office physical address, city, state & zip) as the registered agent for (name of business entity) I hereby certify that I am in compliance with the requirements of W.S. 17-28-101 through W.S. 17-28-111. Signature: Date: (Shall be executed by the registered agent.) (mm/dd/yyyy) Print Name: Daytime Phone: Title: Email: Registered Agent Mailing Address (if different than above): *If this is a current registered agent changing their registered address on file, complete the following: Previous Registered Office(s): I hereby certify that: After the changes are made, the street address of my registered office and business office will be identical.This change affects every entity served by me and I have notified each entity of the registered office change.I certify that the above information is correct and I am in compliance with the requirements of W.S. 17-28-101 throughW.S. 17-28-111. Signature: Date: (Shall be executed by the registered agent.) (mm/dd/yyyy) American LegalNet, Inc. www.FormsWorkFlow.com