Foreign Profit Corporation Articles Of Domestication Form - Wyoming Secretary Of State - 2012 Page 2

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9. Names and usual business addresses of its current officers and directors:
Office
Name
Address
President
Vice President
Secretary
Treasurer
Director
Director
Director
10. The aggregate number of shares or other ownership units which it has the authority to issue, itemized by classes,
par value of shares, shares without par value and series, if any, within a class:
Number of Shares
Class
Series
Par Value per Share
11. The aggregate number of issued shares or other ownership units itemized by classes, par value of shares, shares
without par value and series, if any, within a class:
Number of Shares
Class
Series
Par Value per Share
12. The corporation accepts the constitution of the state of Wyoming in compliance with the requirement of
Article 10, Section 5 of the Wyoming Constitution.
Signature: ___________________________________________
Date:
(mm/dd/yyyy)
Print Name:
Title:
Contact Person:
Daytime Phone Number:
Email:
FP-ArticlesDomestication - Revised 11/2012

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