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                              PAUL D. PATE                                     APPLICATION FOR 

                            Secretary of Staet                      CERTIFICATE OF AUTHORITY 

                              State ofIowa                                     (NONPROFIT                      ) 
                            
  TO THE SECRETARY OF STATE OF THE STATE OF IOWA:                   
  Pursuant tothe Revised Iowa Nonprofit Corporation        Act,the undersigned corporation appliesfora certificate of                                    
  authority to transact business in Iowa, and states: 
 
  1  . The name  ofthe corporaiont is:                                                                                 
 
  1A. [See Note 6] The name the corporation will use in Iowa, if different than the legal name of the corporation is: 
 
  2  . The corporation is incorporated under the laws  ofthestate[or  foreign country] of :                             
 
  3  . The date  ofincorporation  ofthe corporaiont was:                                                               
 
  4  . The duration  ofthe corporaiont  is:                                                                            
 
  5.   The street address of its principal office is: 
       Address                                                                                                          
       City,State,Z  ip                                                                                                 
 
  6.   The street address of its registered office in Iowa and the name of its registered agent at that office 
 
       Name                                                                                                             
       Address                                                                                                          
       City,State,Z  ip                                                                                                
 
  7.   Check one:           The corporation has members.           The corporation has no members. 
 
  8.   The names and usual business or home addresses of its current directors and officers: 
 
       Name                                                                                                             
       Address                                                                                                          
       City,State,Z  ip                                                                                                
 
       Name                                                                                                             
       Address                                                                                                          
       City,State,Z  ip                                                                                                
 
  635_0106 
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      Name                                                                                                                   
      Address                                                                                                                
      Ciy t ,Stae t ,Zip                                                                                                    
 
      Name                                                                                                                   
      Address                                                                                                                
      Ciy t ,Stae t ,Zip                                                                                                    
 
                                      [Please attach additional pages as necessary] 
 
 9.   A certificate of existence, or a document of similar import, duly authenticated within 90 
      days prior to the date of this application, by the secretary of state or other official having 
      custody of corporate records in the state or country of incorporation, accompanies this 
      application. 
 
 10 . Signaure t                                                                                     
 
      Type or printname and ile   tt                                                                 
 
 NOTES: 
 
 1.  The filing fee is $25.00. Make checks payable to SECRETARY OF STATE. 
 2.  A certificate of existence, or a document of similar import, duly authenticated within 90 days prior to the date 
      of this application, by the secretary of state or other official having custody of corporate records in the state or 
      country of incorporation, must accompany this application. 
 
 3.   The document is to be signed by the chairperson of the board, the president, or other officer of the corporaiont       .
      If directors have not been selected, the document is to be signed by an incorporator. If the corporation is in the 
      hands of a court appointed fiduciary, the document is to be signed by the fiduciary. A copy of a signature is 
      acceptable for filing. Verification is not required. 
 
 4.   One copy of the document is to be delivered to the Secretary of State for filing. 
 
 5.   The effective time and date of the document is the later of the following: 
       a.   the time of filing on the date it is filed; 
       b.   the time specified in the document on the date it is filed; 
       c.   the time and date specified in the document, not later than 90 days after the date it is filed. 
 
 6.   If the name of the corporation does not satisfy the requirements of section 1506 of the Revised Iowa Nonprofit 
      Corporation Act,t hecorporation may use aiciiousf tt name ot transac businesst in owaI i heft corporation's realname 
      is unavailable and the corporation delivers to the secretary of state for filing a copy of the resolution of its board of 
      directors, certified by its secretary, adopting the fictitious name. 
 
 7.   The information you provide will be open to public inspection under Iowa Code chapter 22.11. 
 
                                              SECRETARY OF STATE 
                                              Business Ser icesv   Division 
                                              Lucas Building, 1st Floor 
                                              Des Moines, IA 50319 
                                                            
                                              Phone:(515) 281-5204 
                                               Fax: (515) 242-5953 
                                              Website: s os.iowa.gov 






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