Form F Fpc - Foreign Corporation Certificate Of Registration Page 4

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COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Foreign Corporation
Certifi cate of Registration
(General Laws, Chapter 156D, Section 15.03; 950 CMR 113.48)
I hereby certify that upon examination of this foreign corporation certifi cate, duly submit-
ted to me, it appears that the provisions of the General Laws relative thereto have been
complied with, and I hereby approve said certifi cate; and the fi ling fee in the amount
of $______ having been paid, said certifi cate is deemed to have been fi led with me this
_____________ day of _____________
day of _____________
day of
, 20______ , at _______a.m./p.m.
time
Eff ective date: _____________________________________________________
(must be within 90 days of date submitted)
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Examiner
Filing fee: $400
Name approval
TO BE FILLED IN BY CORPORATION
Contact Information:
C
___________________________________________________________
M
___________________________________________________________
___________________________________________________________
Telephone: ___________________________________________________
Email: ______________________________________________________
Upon fi ling, a copy of this fi ling will be available at
If the document is rejected, a copy of the rejection sheet and rejected document will
be available in the rejected queue.

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