Instructions For Completing Form Fpr/f-Stmnt Page 3

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The resolution must be signed by an authorized officer and must identify the New Mexico state agency that turned down the true
corporate name. (Part Two) Enter the state or country where the corporation originally filed to become incorporated.
Item 2: The New Mexico Business Corporation Act requires the word “corporation”, “company”, “incorporated”, or “limited”, or an
abbreviation of one of these words, to be included as part of the corporate name. If the foreign corporate name does not contain one of
these words or abbreviations, enter the complete corporate name as it appears in Item 1 with the addition of one of these required
words or abbreviations as the name elected for use in New Mexico.
Item 3: (Part One) Enter the date (month, day, and year) the corporation filed its Articles of Incorporation in its domestic state. This
date must concur with the date as stated on the certificate of good standing, if that information is provided on the certificate. (Part
Two) Enter the period of duration (how long the corporation will be in existence in its domestic state). This may be stated as
perpetual, or a specific date or number of years.
Item 4: (Part One) Enter the address of the corporation’s registered office in its domestic state. This is the address designated for
service of process in the domestic state. (Part Two) Enter the address of the corporation’s principal office (corporate business office),
which may be located anywhere. If the principal office address is the same as the registered office address, part two may be left blank.
Item 5: (Part One) Enter the address (street, city, and state) of the New Mexico registered office. This is the address designated for
service of process in New Mexico. This must be a street address, or geographical description of the physical location if outside a
municipality where a street address does not exist; a post office box is not acceptable. (Part Two) Enter the name of the registered
agent who will accept service of process at the registered office address. The duty of the registered agent is to forward to the
corporation any notice, process or demand that is served on the corporation. A registered agent must be either an individual resident
of New Mexico, or a domestic corporation having a place of business in New Mexico, or a foreign corporation authorized to transact
business in New Mexico and having a place of business in New Mexico. Filing corporation cannot be its own registered agent.
Item 6: Enter the specific type of business the corporation will be transacting in New Mexico.
Item 7: Enter the names and titles of the officers and directors of the corporation, and their respective addresses, which may be
business or personal addresses. At least one officer or director must be listed.
Item 8: Enter the total number of shares the corporation is authorized to issue by its domestic state as set forth in its Articles of
Incorporation. If the corporation has shares designated by class and series, itemize those shares accordingly.
Item 9: Enter the total number of shares that have been issued by the corporation, itemized by class and series, if any. If no shares
have been issued, enter “zero” or “none”.
Item 10: Enter the applicable dollar amount or “zero” or “none” for each section (a) through (d). All sections must be completed;
“N/A” or blank is not acceptable. For purposes of sections (c) and (d), “property” is defined as all property, whether tangible or
intangible.
Date and Execution: Enter the date the application was executed (signed). Enter the name of the applying corporation on the line
provided. The application must be signed by an authorized officer of the corporation.
Instructions For Completing Form F-STMNT (Statement for Registered Agent)
On line one, enter the printed name of the individual designated as the New Mexico registered agent, or,
if a corporation is the registered agent, the name of the authorized officer who is signing for that
corporation. Filing corporation cannot be its own registered agent.
On line two, enter the complete name of the applying corporation, exactly as it is stated in Item 1 of the application.
If the registered agent named in the application is an individual, that individual must sign the statement on the first signature line only.
If the registered agent named in the application is a corporation, only the next signature block must be used. The name of the
corporation being appointed as registered agent must be entered, and an authorized officer of that corporation must sign on the
“By____” line. Use only the signature lines that apply. If the individual signature line is used, the other signature block must be
left blank, and vice versa.

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