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Form Dfi/corp21 - Foreign Business Corporation - Certificate Of Authority Application - 1999

Sec.

State of Wisconsin

180.1503

DEPARTMENT OF FINANCIAL INSTITUTIONS

Wis. Stats.

Division of Corporate & Consumer Services

FOREIGN BUSINESS CORPORATION – CERTIFICATE OF AUTHORITY

APPLICATION

Indicate (X) below if the application is for a (A) ORIGINAL or (B) for an AMENDED certificate.

1. (

) ORIGINAL certificate

2. State or Country of

Name of corporation

Incorporation

1. (

) AMENDED certificate (If changed, enter the new corporate name

2. State or Country of

or new state or country of incorporation. Also, enter in section A above, the

Incorporation

name under which the corporation is presently licensed in Wisconsin, and

complete all other items, except items 8, and 12 thru 14.

Name of corporation

3. Address of Principal Office

4. Date of

Incorporation

___________________

5. Period of Duration

_______________

\HV

Perpetual

6. Name of Registered Agent in Wisconsin 7. Street Address of Registered Office in Wisconsin

8. Has the corporation transacted business in Wisconsin without holding a Certificate of Authority?

(

) No

(

) Yes

If “Yes”, complete and attach supplemental Form 21-A

DFI/CORP21(R5/99) Use of this form is mandatory. (

) 1 of 5

Earlier editions, 1991 or later, may be used

Form Dfi/corp21 - Foreign Business Corporation - Certificate Of Authority Application - 1999