Application For Certificate Of Registration And Articles Of Continuance Form

APPLICATION FOR CERTIFICATE OF REGISTRATION

AND ARTICLES OF CONTINUANCE

Wyoming Secretary of State

Phone (307) 777-7311/7312

The Capitol Building, Room 110

Fax (307) 777-5339

200 W. 24th Street

E-mail: corporations@state.wy.us

Cheyenne, WY 82002-0020

Pursuant to W.S. 17-16-1710 of the Wyoming Business Corporation Act, the undersigned hereby submits

the following Articles of Continuance:

The name of the corporation is: _______________________________________________________

It is incorporated under the laws of: ____________________________________________________

(a) The date of its incorporation is: ____________________________________________________

(b) The period of its duration is: _______________________________________________________

The address of its principal office of the corporation is:

______________________________________________________________________________

The mailing address where correspondence and annual reports can be sent:

______________________________________________________________________________

The physical address of its proposed registered office in Wyoming and the name of its registered

agent at that address is: _____________________________________________________________

______________________________________________________________________________

(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.)

The purpose or purposes of the corporation which it proposes to pursue in the transaction of

business in this state: _______________________________________________________________

______________________________________________________________________________

The names and respective addresses of its officers and directors are:

Office

Name

Address

President ________________________________________________________________________

Vice President ____________________________________________________________________

Secretary _______________________________________________________________________

Treasurer _______________________________________________________________________

Director _________________________________________________________________________

Application For Certificate Of Registration And Articles Of Continuance Form - 2003