STATEMENT  

                                                           OF  

                          FICTITIOUS NAME REPORT 
                          
TO: OKLAHOMA SECRETARY OF STATE 
         2300 N. Lincoln Blvd., Room 101, State Capitol 
     Oklahoma City, Oklahoma 73105-4897   
     (405) 522-2520 

PLEASE NOTE: 
 
    ™ ONLY use this form when the legal name of a foreign limited liability company is prohibited by Title 18, 
      Section 2008 of the Oklahoma Statutes.  This form is not used to file a trade name or d/b/a in the state of 
      Oklahoma. 
 
    ™ ATTACHED HERETO is the Application for Registration for a foreign limited liability company. 

      I, the manager of: 
       
                    ,  
 
a limited liability company duly organized under the laws of the State or Country of:           , 

have been advised that the limited  liability company name is not available or does not satisfy statutory 

requirements in the State of Oklahoma. 
 
The limited liability company hereby adopts the following fictitious name: 
 
                    , 

which shall be used to the exclusion of its true name when transacting business in the State of Oklahoma pursuant 

to the provisions of Title 18, Section 2045 of the Oklahoma Statutes. 

The fictitious name report must be signed by a manager of the foreign limited liability company. 
 
 •  Signature of Manager:                                                   Dated:                                  
 
 •  Printed Name:                                                          Title:                                    
 
                                                                                                            (SOS FORM 0044-07/12)