Application For Authority To Transact Business 2011 Page 4

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14. FOR-PROFITS ONLY – SHARES AUTHORIZED –

see Instructions C018i

– list the class (common, preferred, etc.) and

total number of shares the foreign corporation is AUTHORIZED to issue. This information must match the original Articles of

Incorporation plus any amendments thereto. If more space is needed, check this box

and complete and attach the

Shares Authorized Attachment

form C087.

Total:

Class:

Series:

Par Value:

Class:

Series:

Total:

Par Value:

15. FOR-PROFITS ONLY – SHARES ISSUED –

see Instructions C018i

– list each class/series of authorized shares and give the

total number and par value of shares of that class that have been ISSUED. If no shares of that class have been issued, put

the number zero. If more space is needed, check this box

and complete and attach the

Shares Issued Attachment

form

C097.

Series:

Class:

Total:

Par Value:

Class:

Series:

Total:

Par Value:

16. NONPROFITS ONLY – MEMBERS – check one box only:

Does the foreign nonprofit corporation have members?

Yes

17. PROFESSIONAL CORPORATIONS ONLY – PROFESSIONAL SERVICES – if “professional corporation” is checked in

number 1, briefly describe the type of professional services the corporation will render (examples: accounting, medical,

law firm):

_______________________________________________________________________________________

18. PROFESSIONAL CORPORATIONS ONLY – PROFESSIONAL LICENSE:

By the signature appearing on this document, the foreign professional corporation certifies under penalty of perjury

that at least one-half of its shareholders who are entitled to vote for the election of directors, and at least one-half of

its directors, and its president, are licensed in one or more states to render a professional service described in the

foreign professional corporation’s articles of incorporation.

NOTE:

You must attach a statement from the licensing authority in Arizona for the profession

showing that at least one of the professional corporation’s shareholders or employees is

licensed in Arizona to render that professional service. (See A.R.S. § 10-2245.)

SIGNATURE:

By checking the box marked "I accept" below, I acknowledge under penalty of perjury that this

document together with any attachments is submitted in compliance with Arizona law.

I ACCEPT

Signature

Printed Name

Date

REQUIRED – check only one:

I am the Chairman of the Board

I am a duly-authorized Officer of

I am a duly authorized

of Directors of the corporation

the corporation filing this document.

bankruptcy trustee, receiver,

filing this document.

or other court-appointed

fiduciary for the corporation filing

this document.

Filing Fee: $175.00 (regular processing)

Mail:

Arizona Corporation Commission - Corporate Filings Section

Expedited processing – add $35.00 to filing fee.

1300 W. Washington St., Phoenix, Arizona 85007

All fees are nonrefundable - see Instructions.

Fax:

602-542-4100

Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel for those matters that may pertain

to the individual needs of your business.

All documents filed with the Arizona Corporation Commission are public record and are open for public inspection.

If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.

C018.001

Arizona Corporation Commission – Corporations Division

Rev: 2011

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