COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : JUDICIAL SUBPOENA Plaintiff(s) APPLICATION FOR CERTIFICATE OF DOMESTICATION -againstARTICLES OF DOMESTICATION : : Wyoming Secretary of State The Capitol Building, Room 110 200 W. 24th Street Cheyenne, WY 82002-0020 : Phone (307) 777-7311/7312 Fax (307) 777-5339 E-mail: corporations@state.wy.us Defendant(s) : ...................................................... Pursuant to W.S. 17-16-1702 of the Wyoming Business Corporation Act, the undersigned hereby applies for a Certificate of Domestication and for that purpose hereby submits Articles of Domestication. THE PEOPLE OF THE STATE OF NEW YORK 1. 2. TO The name of the corporation is: _______________________________________________________ It is incorporated under the laws of: ____________________________________________________ 3. GREETINGS: (a) The date of its incorporation is: (b) The period of its duration is: _______________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court 4. The address of its principal office in the state under the laws of which it is incorporated is: located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed ______________________________________________________________________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the ______________________________________________________________________________ 5. TheYour failure to comply with this subpoena is punishable as a can be sent: court and will make you liable to mailing address where correspondence and annual reports contempt of 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. Witness, Honorable , one of the Justices of the ______________________________________________________________________________ Court in 6. County, day of , 20 The physical address of its proposed registered office in Wyoming and the name of its registered agent at that address is: (Attorney must sign above and type name below) ______________________________________________________________________________ Attorney(s) for ______________________________________________________________________________ (The agent must be an individual who resides in this state, a domestic corporation or a not-for-profit domestic corporation or a foreign corporation or not-for-profit foreign corporation authorized to transact business in this state.) Office and P.O. Address 7. The purpose or purposes of the corporation which it proposes to pursue in the transaction of business in this state: Telephone No.: ______________________________________________________________________________ Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. The names and respective addresses of its officers and directors are: 8. : JUDICIAL SUBPOENA Office Name Plaintiff(s) Address -againstPresident __________________________________________________________________ : Vice President __________________________________________________________________ : Secretary __________________________________________________________________ Treasurer __________________________________________________________________ : Director __________________________________________________________________ Director __________________________________________________________________ Defendant(s) : . . . . . Director. . . . . . . __________________________________________________________________ ...... .................................... 9. The aggregate number of shares or other ownership units which it has the authority to issue, itemized OF THE STATE OF NEW YORK THE PEOPLE by classes, par value of shares, shares without par value and series, if any, within a class is: TO Number of Shares ________________ Class Series Par Value per Share ______________ _________ ________________________ GREETINGS: 10. The aggregate number of issued shares or other ownership units itemized by classes, par value ofCOMMAND YOU, that allvalue and and excuses being laidclass is: and each of you attend before WE shares, shares without par business series, if any, within a aside, you , the Honorable at the Court Number of Shares Class Series Par Value per Share located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the________________________ part of the ________________ ______________ _________ 11. The corporation accepts the Constitution of this state in compliance with the requirements of Articlefailure to complythe Wyoming Constitution. Your 10, Section 5 of 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. Date: _______________________ Witness, Honorable Court in County, Signed:_________________________________________ , one of the Justices of the day of Title: __________________________________________ , 20 ************************************************************************************ (Attorney must sign above and type name below) Filing Fee: $100.00 Instructions: 1. 2. Attorney(s) for The document may be executed by the Chairman of the Board, President or another of its officers. The following documents must accompany the application: P.O. Address Office and a. A certified copy of its original articles of incorporation and all amendments thereto currently certified within six (6) months. b. A certificate of good standing not more than thirty (30) days old. Telephone No.: c. A written consent to appointment manually signed by the registered agent. Facsimile No.: cofdomes - Revised: 9/2003 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com