State Form 51575 - Articles Of Domestication Domestication Of A Foreign Corporation Into An Indiana Corporation

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ARTICLES OF DOMESTICATION

CONNIE LAWSON

SECRETARY OF STATE

Domestication of a Foreign Corporation into an Indiana Corporation

CORPORATE DIVISION

State Form 51575 (R2 / 4-12))

302 W. Washington Street, Rm. E018

Approved by State Board of Accounts, 2004

Indianapolis, IN 46204

Telephone: (317) 232-6576

INSTRUCTIONS:

1. Use 8 ½” x 11” white paper for attachments.

2. Present original and one (1) copy to the address in upper right corner of this form.

Indiana Code 23-1-18-3

3. Please TYPE or PRINT.

FILING FEE: $30.00

4. Please visit our office on the web at

ARTICLES OF DOMESTICATION

The undersigned, desiring to domesticate a foreign corporation (herein referred to as “Corporation”) within the State of Indiana pursuant to the provisions

of Indiana Code 23-1-38.5-4, et. seq., executes the following Articles of Domestication:

ARTICLE I: NAME AND JURISDICTION OF CORPORATION

SECTION 1:

CORPORATE NAME

The following is the name of Corporation immediately before filing these Articles of Domestication:

___________________________________________________________________________________________________________________

If the corporate name given above is unavailable in Indiana or if Corporation wishes to change its name, the new name of the corporation will be

the following :

___________________________________________________________________________________________________________________



(Please note that pursuant to Indiana Code 23-1-23-1(a), this name must include the word “incorporated", "company", or "limited", or

the abbreviation "corp.", "inc.", "co.", or "ltd.", or words or abbreviations of like import in another language.)

SECTION 2:

JURISDICTION

The following is the jurisdiction in which Corporation was incorporated immediately before filing these Articles of Domestication:

___________________________________________________________________________________________________________________

Please read and sign the following statement:

I hereby affirm under the penalty of perjury that, to the best of my knowledge, the domestication of Corporation in Indiana was duly authorized as

required by the laws of the above-stated jurisdiction.

Signature ________________________________ Printed Name _______________________________ Title ______________________________

ARTICLE II: REGISTERED OFFICE AND AGENT

Registered Agent: The name and street address of Corporation’s Registered Agent and Registered Office for service of process are as follows:

Name of Registered Agent

Address of Registered Office (number and street or building only, no PO box)

City

ZIP Code

Indiana

ARTICLE III: AUTHORIZED SHARES

Please state the number of shares Corporation is authorized to issue: ___________________________________________________________

If there is more than one class of shares or shares with rights and preferences, please list such information as “Exhibit A” and attach herewith.

ARTICLE IV: PLAN OF DOMESTICATION

Please set forth the Plan of Domestication, containing such information as required by Indiana Code 23-1-38.5-4(c), attach herewith, and designate it as

“Exhibit B.”