STATE OF SOUTH CAROLINA 
                                       SECRETARY OF STATE 
                                                                 
 APPLICATION BY A FOREIGN CORPORATION FOR A CERTIFICATE OF AUTHORITY TO TRANSACT 
                          BUSINESS IN THE STATE OF SOUTH CAROLINA 
 
Pursuant to Section 33-15-103 of the 1976 South Carolina Code of Laws, as amended, the undersigned corporation 
hereby applies for authority to transact business in the State of South Carolina, and for that purpose, hereby submits the 
following statement: 
 
1.  The name of the corporation is (see Sections 33-4-101 and 33-15-106 and Section 33-19-500 (b)(1) if the corporation 
 is a professional corporation. (Must match corporation name on certificate of existence from domestic state) 
  
2.  It is incorporated as (check applicable item)      a general business corporation,      a professional corporation under 
 the laws of the state of ______________________________________________ 

3.  The date of its incorporation is ______________ and the period of its duration is _______________ 
 
4.  The address of the principal office of the corporation is:  
  
 _____________________________________________________________________________________________ 
 (Street Address) 
  
 _____________________________________________________________________________________________ 
 (City, State, Zip Code) 
  
5.  The address of the proposed registered office in the state of South Carolina is: 
  
 _____________________________________________________________________________________________ 
 (Street Address) 
  
 ______________________________________________________   South Carolina         _____________________ 
 (City)                                                                                                       (Zip Code) 
 
6.  The name of the proposed registered agent in South Carolina at such address is 
  
 _____________________________________________________________________________________________ 
 (Print Name) 
 I hereby consent to the appointment as registered agent of the corporation 
  
 _____________________________________________________________________________________________ 
 (Signature of the Registered Agent) 
 
                                            Form Revised by South Carolina Secretary of State, April 2018 
                                                                                                                         F0002 

                                                          Name of Corporation 
 
7.  The name and usual business address of the corporation

     Form Revised by South Carolina Secretary of State, April 2018 
                                                          F0002 

                                                            Name of Corporation 
  
 _____________________________________________________________________________________________ 
 (Address) 
  
 _____________________________________________________________________________________________ 
 (City, State, Zip Code) 
 
 _____________________________________________________________________________________________ 
 (Principal Officer Name) 
  
 _____________________________________________________________________________________________ 
 (Principal Officer Position) 
  
 _____________________________________________________________________________________________ 
 (Address) 
  
 _____________________________________________________________________________________________ 
 (City, State, Zip Code) 
 
8.  The aggregate number of shares which the corporation has authority to issue, itemized by classes and series, if any, 
 within a class: (if no shares are issued please enter “none

                                  Form Revised by South Carolina Secretary of State, April 2018
                                                            F0002 

                                             FILING INSTRUCTIONS 

1. If the space in this form is insufficient, please attach additional sheets containing a reference to the appropriate 
paragraph in this form.  
2. $135.00 filing fee made payable to the South Carolina Secretary of State.  
  Fee for filing Application             $110.00  
  Annual Report                          $25.00_  
  Total                                  $135.00  
   
3. Self-addressed stamped return envelope.  
4. This form must be accompanied by the South Carolina Initial Annual Report of Corporations (CL-1 Form)  
5. An original certificate of existence no more than 30 days old from the official state of jurisdiction where the 
corporation is incorporated.  
6. If the applicant corporation's domestic name is unavailable in South Carolina, then it must file a certified copy of the 
board of directors resolution approving the fictitious name along with this application pursuant to Section 33-15-
106(a)(2). (additional $10 filing fee)  
7. If the applicant is a foreign professional corporation, then in addition to satisfying the name requirements in 
Sections 33-19-150 and 33-19-500(b)(1), the following information must be included in the application:  
  a) A statement that the corporation's sole business purpose is to engage in a specified form of professional 
  services (e.g. Law firm).  
  b) A statement that all of its shareholders, not less than one-half of its directors, and all of its officers other than 
  its secretary or treasurer, if any, are licensed in one or more states to render a professional service described in 
  its articles of incorporation.  
8. Return to:                                
  Secretary of State                           
  Attn: Corporate Filings                           
  1205 Pendleton St., Ste. 525                
  Columbia, SC 29201                          
   
                                                    NOTE 
   
  THE FILING OF THIS DOCUMENT DOES NOT, IN AND OF ITSELF, PROVIDE AN EXCLUSIVE RIGHT TO 
  USE THIS CORPORATE NAME ON OR IN CONNECTION WITH ANY PRODUCT OR SERVICE.  USE OF A 
  NAME AS A TRADEMARK OR SERVICE MARK WILL REQUIRE FURTHER CLEARANCE AND 
  REGISTRATION AND BE AFFECTED BY PRIOR USE OF THE MARK.  FOR MORE INFORMATION, 
  CONTACT THE TRADEMARKS DIVISION OF THE SECRETARY OF STATE’S OFFICE. 
 
                                                        Form Revised by South Carolina Secretary of State, April 2018 
                                                                                                                   F0002