Form Cf:0036b - Articles Of Domestication Of A Non-Tax-Exempt Nonprofit Corporation - 2005 Page 3

DATED this ______ day of ___________________, _____.

_____________________________________

[Name of Corporation]

By___________________________________

___________________________________

[Name]

[Title]

Pursuant to A.R.S. §10-3223, these Articles of Domestication are accompanied a Certificate of

Disclosure, and a Certificate of Good Standing duly authenticated by the official having custody of

the corporate records in the jurisdiction in which the corporation was originally incorporated.

Acceptance of Appointment

By Statutory Agent

The undersigned hereby acknowledges and accepts the appointment as statutory agent of the

above-named corporation effective this _______ day of _______________, _____.

Signed_______________________________________

_______________________________________

[Print Name Here]

_______________________________________

[If signing on behalf of a company serving as statutory

agent, print company name here]

CF:0036B

REV: 01/05

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Parent category: Financial