Certificate Of Authority Foreign Limited Liability Company Application Page 3

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SFN 19381 (10-2012) Page 3

CERTIFICATE OF AUTHORITY FOREIGN LIMITED LIABILITY COMPANY APPLICATION

11.

A foreign limited liability company must continuously maintain a commercial or noncommercial registered agent and address in North Dakota. A foreign

limited liability company cannot serve itself as its registered agent.

A commercial registered agent must be registered as a commercial registered agent with the North Dakota Secretary of State. The appointed agent can

verify their status as a commercial registered agent from their acknowledged filing and from the list of commercial registered agents maintained on the

Secretary of State's website at

A noncommercial registered agent may be one of the following:

a) An individual residing in North Dakota,

b) A domestic or foreign corporation, or

c) A domestic or foreign limited liability company.

A corporation or limited liability company appointed as a noncommercial registered agent must be registered with the Secretary of State, be in good standing,

and have a business address in North Dakota. If a corporation or limited liability company is named as a noncommercial registered agent, provide the "correct"

name of the organization.

Seek the approval of the party before naming them as the commercial or noncommercial registered agent. Proof of the approval is not required to

be filed with the Secretary of State.

11A.

If a commercial registered agent is being appointed, provide the correct name as registered with the North Dakota Secretary of State. If the name in

number 11A. is not the same as registered by the commercial registered agent, or is incorrectly provided in 11B., the name will be corrected by the

Secretary of State when the document is reviewed.

11B. If a noncommercial registered agent is being appointed, provide the correct name. If a corporation or another limited liability company is appointed as

registered agent and the name of that organization in number 11B. is not the same as registered, or is incorrectly provided in 11A., the name will be

corrected by the Secretary of State when the document is reviewed.

11C.

If a noncommercial registered agent is being appointed, provide the complete address in North Dakota which may not be only a post office box. Leave this

line blank if a commercial registered agent is appointed. If a commercial registered agent is named in 11A. and an address is provided in11C., the address

will be removed by the Secretary of State.

12.

Describe the business activities or professional services which the limited liability company intends to conduct in North Dakota.

13.

List the names and complete addresses of the managers and governors. A foreign professional limited liability company must list all members and

managers who will practice the profession in North Dakota. If the space provided is not adequate, attach a list of additional managers and governors.

14.

The application must be signed and dated by a person authorized to sign on behalf of the limited liability company.

15. Provide the name, email address, daytime telephone number, and extension, if any, of a contact person if this office has any questions or needs additional

information. The email address is not disclosed to the public; this information is privatized in accordance with N.D.C.C. Section 44-04-18.21.

ASSISTANCE: If assistance is required to complete the application, contact the Secretary of State at 701-328-2904.

FAX FILING: The document and Credit Card Payment Authorization may be faxed to 701-328-2992. A faxed filing does not expedite the process of the

document in the office of the Secretary of State.

EMAIL: Email is not a secure utility for the transmission of private information or credit card authorizations. DO NOT EMAIL YOUR DOCUMENT TO THE

SECRETARY OF STATE.

MAILING INSTRUCTIONS: Send documents and filing fees to:

Secretary of State

State of North Dakota

600 E Boulevard Ave Dept 108

Bismarck ND 58505-0500

Telephone: 701-328-2904

Toll Free: 800-352-0867 (ext 328-2904)

Fax: 701-328-2992

Web Site:

ANNUAL REPORTS: An annual report will be required of a foreign limited liability company or foreign professional limited liability company before November

15th in the year following that in which the Certificate of Authority is issued. The registered agent will be notified when the required reporting form is available.

CREDIT CARD PAYMENT AUTHORIZATION

SECRETARY OF STATE

SFN 51478 (4-2012)

Amount Authorized

(All items required to complete transaction)

Name

Telephone Number

Address

City

ZIP Code

State

Signature (Required by Credit Card Companies)