Certificate Of Authority Foreign Business, Non Profit, Or Cooperative Corporation - State Of Alaska Page 2

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6. Registered Agent name and address:
Must have a physical and mailing address in Alaska
Name:
Mailing Address:
AK
ZIP Code:
Physical Address if Mailing
Address is a Post Office
Box:
City:
AK
ZIP Code:
7. Name and Address of each alien affiliate.
If there are no alien affiliates indicate by “None”:
Name:
Mailing Address:
City:
State:
ZIP Code:
Province:
Country:
Attach additional sheet if more than one alien affiliate.
8. Number of Authorized Shares:
Required for Business and Cooperative Corporations. Zero (0) is not acceptable.
Common
-or-
Preferred
# of Authorized Shares
Class
Series
Par Value
Common
-or-
Preferred
# of Authorized Shares
Class
Series
Par Value
9. Number of issued shares:
If you have issued shares please complete #11
# of Issued Shares
Class
Series
Par Value
# of Issued Shares
Class
Series
Par Value
10. The names and mailing addresses of the officers and directors of the corporation:
Title
Name
Mailing Address
City
State
ZIP Code
President
Vice President
Secretary
Treasurer
Director
Director
If necessary, attach additional pages for continuation. Please do not include confidential information such as
Social Security Numbers, driver license numbers or date of birth as this record is public information.
08-410 (Rev. 02/24/10)
Page 2 of 4

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