Application For Certificate Of Authority Foreign Corporation

Application For Certificate Of Authority Foreign Corporation - Professional Page 2

7. Address (including street and number) of its principal office or registered office

address in the State/Country where incorporated:

________________________________________________________________________

8. ADDRESS (including street and number) of its MANDATORY registered office

and NAME of its registered agent in the District of Columbia:

Name:__________________________________________________________________

Can be D.C. Resident Or For-Profit Corporation in good standing, authorized to act as registered

agent.

Address:________________________________________________________________

P.O. Box is not sufficient.

9. Briefly describe the business company proposes to transact in the District (general

purposes are not acceptable; be specific):

________________________________________________________________________

10. All officers, directors and shareholders of the corporation are licensed to

practice the profession for which the corporation is incorporated. In the case of a

single person corporation, the Secretary of the corporation need not be so licensed.

(Do not make any changes to this statement)

11. Attach a list of the names and addresses (including street and number) of all

officers and directors of the corporation.

Corporate Name

________________________________________________________________________

Signature of President or Vice President

_________________________________________________________

Signature of Secretary or Assistant Secretary

_________________________________________________________

(Corporate Seal)

Application For Certificate Of Authority Foreign Corporation - Professional Page 2