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State of Delaware Foreign Corporation Certificate

This is a Foreign Corporation Certificate in Delaware. The form provided here is simply a sample of what the actual form looks like.

STATE of DELAWARE
FOREIGN CORPORATION CERTIFICATE

· The Undersigned, a corporation duly organized and existing under the laws of the

State of __________________________________ , in accordance with the provisions of Section 371 of Title 8 of the Delaware Code, does hereby certify:

· First: That __________________________________ is a corporation duly organized and existing under the laws of the

State of __________________________________ and is filing herewith a certificate evidencing its corporate existence.

· Second: That the name and address of its Registered Agent in said State of Delaware upon whom service of process may be had is

__________________________________

· Third: That the assets of said corporation are $_______________ and the liabilities thereof

are $______________. The assets and liabilities indicated are as of a date within six months prior to the filing date of this Certificate.

· Fourth: That the business which it proposes to do in the State of Delaware is as follows:

__________________________________

· Fifth: That the business which it proposes to do in the state of Delaware is the business it is authorized to do in the jurisdiction of its incorporation.

· In Witness Whereof, said corporation has caused this Certificate to be signed on its behalf and its corporate seal affixed this

______ day of _____________, 20_______.

BY: __________________________________
(Authorized Officer)

NAME: __________________________________
(Type or Print)

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