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    Business Services Division                                                          For Office Use Only
 Tre Hargett, Secretary of State

                                                REQUEST FOR COPY 
                                                 OF DOCUMENTS
       State of Tennessee
   312 Rosa L. Parks Avenue, 6th Floor
      Nashville, Tennessee 37243

 Please provide a certified copy of the following documents for the below listed corporation/limited liability 
 company/limited partnership/limited liability partnership/general partnership:
 
1. Exact name of the business:   
                                       
   Secretary of State control number, if known:                                                                         

2. Please indicate the documents desired.

      All documents                                                            All annual reports (last 10 years)
      Charter/Articles of Organization/Certificate and amendments              Latest annual report 
      Certificate of fact regarding name change
      Certificate of fact regarding merger

      Specific documents:                                                                                               
       
3. If more than one set of document copies is requested, please indicate the number:  

4. The name and mailing address of the party to receive this order: 

                    Name:   
                    Address:   
                                           
                    City:   
                    State:                         Zip Code:                             
     
               Note: If the service of an “overnight” courier is to be utilized, a completed airbill (including         
               the account number to which the charges for services should  be made) must accompany                     
               this request.

5. This request must be accompanied by the statutory processing fee of $20.00 per set of copies per business.
   No credit will be extended.  Make checks payable to: Tennessee Secretary of State.  We regret that no requests can be 
   taken by telephone, e-mail, or fax.

SS-4461 (9/02)                                                                                                 RDA 1678