Form 1902-AP
                                                                                       STATE OF DELAWARE                                                            
                                                                                       DIVISION OF REVENUE
                  APPLICATION FOR EXEMPTION FROM CORPORATION INCOME TAX
                                                               SECTION 1902(b)(8) HOLDING COMPANIES
PART 1
Name of Applicant

Address                                                                                                                                                   Zip Code

D   awl eA   edr ae rsd  f i  esr e fof irDf  mtA                 nbove                                                                               p i Z           Code

Date and State of Incorporation                                              Federal Employer Identification Number                             Nature of Business

PART 2
Name and address of Delaware employees. (If additional space is needed, attach list.)
Name                                                                                                                                     Address

PART 3
Name and address of persons (individuals, corporations, etc.) owning more than 10% of the stock of corporation.
(If additional space is needed, attach list.)

Name                                                                                                                                     Address

PART 4
Describe in detail below your operations in Delaware and list each type of intangible investment owned and all sources of
income. RECITING THE STATUTE DOES NOT CONSTITUTE AN ANSWER.
(If additional space is needed, please provide attachments.)

. 1 W h t   l l i c   e p r o o i t a r o a   n a   t c g   a   s en       p   l a r e n t r a p   a   n i   r e   n t r a s r e p i h ?            YES            NO
    If yes, please describe the activities of the partnership.

. 2 W h t   l l i c   e p r o o i t a r o p   n  p i c i t r a v   t n i o j   a   n i   e t a e e r u t n ?                                        YES            NO
    If yes, please describe the activities of the joint venture.

3.  Will the corporation receive income from patents, royalties, copyrights, know-how, etc.?                                                        YES            NO
    If yes, please describe any services which will be performed by the corporation
    with regard to such intangibles.

. 4 W h t   l l i c   e p r o o i t a r o e   n ngag           b   n i   e u n i s es  o   s   d i s t u   f o   e D a l e w     e r a ?            YES            NO
    If yes, please describe the activities.

                              Signature and Title                                                                                               Date
RETURN TO: STATE OF DELAWARE, DIVISION OF REVENUE, 820 N. FRENCH STREET, WILMINGTON, DELAWARE 19801 ATTN: CONFEREE

(Revised 01/28/13) 
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