S                                                                  (225) 925-4704  
                                         TATE OF LOUISIANA                                                 Commercial Division    
                                        SECRETARY OF STATE                                                   
    R. Kyle Ardoin                                                                                         Fax Numbers 
SECRETARY OF STATE                                                                                         (225) 932-5314 Corporations 
                                                                                                           (225) 932-5317 Legal Services 
                                                                                                           (225) 932-5318 UCC 
                                                                                                                                               
                            TRANSMITTAL INFORMATION 
                                  For All Business Filings

 Please indicate below the level of service requested, payment and contact information

     Routine         Expedite $30                         Priority Expedite $50
                     24 hour processing                  2-4 hour processing

     Check or Money Order Enclosed

*Do not put credit card information on this form. You may save payment information in your geauxBIZ profile under master account.

Business Name (List  exactly  as it appears in documents)

Name of person filing document (evidence of filing will be mailed to this person, at address below)

Address

City                                     State                                                     Zip Code

Daytime phone number                    Fax number                                                 Email address

NOTE:  Louisiana Law requires all Louisiana notaries to print or type their name and notary or 
       bar roll number on the document.

                     Mailing Address:  P. O. Box 94125, Baton Rouge, LA * 70804-9125      
                     Office Location: 8585 Archives Ave.,  Baton Rouge, LA * 70809          
                                  Web Site Address:   www.sos.la.gov

 SS984  Rev. 06/18

R. Kyle Ardoin                                                 APPLICATION FOR AUTHORITY
Secretary of State                                         TO TRANSACT BUSINESS IN LOUISIANA
                                                                              (R.S. 12:304)
                                                 Foreign Corporation              Return to:       Commercial Division
                                                   Enclose $125 filing fee                         P.O. Box 94125
                                               Make remittance payable to                          Baton Rouge, LA 70804-9125 
                                                Secretary of State                                 (225) 925-4704
                                                   Do Not Send Cash                                www.sos.la.gov
STATE OF                                                          Check one:      (  )  Non Profit        Check one: (  )    Original Application
                                                                                  (  )  Business                     (  )    Amended Application
PARISH/COUNTY OF
1. Corporation name:
2. Previous name:
3. Principal office address in state or country of incorporation:

4. Federal tax identification number:
5. Principal business office address:
                    PLEASE INCLUDE COMPLETE STREET ADDRESSES FOR THE FOLLOWING
6. Principal business establishment in Louisiana:

7. Registered office address in Louisiana:

8. Registered agent’s name and address in Louisiana:

9. Nature of business to be transacted in Louisiana:

10. Names and addresses of directors and officers:

                   To be signed by any officer                                                                       Title and Date

Sworn to and subscribed before me, the undersigned Notary Public, on this date:

                                                                 Notary
                        AGENT’S ACCEPTANCE AND ACKNOWLEDGEMENT OF APPOINTMENT
 I hereby acknowledge and accept the appointment of registered agent for and on behalf of the above named corporation.

                                                                  Registered Agent
Sworn to and subscribed before me on this date:

                                                                   Notary
  SS326  Rev. 05/18

                                                   STATE OF LOUISIANA

                                                 SECRETARY OF STATE
 R. Kyle Ardoin
Secretary of State

                                              IMPORTANT NOTICE

The instructions from the Secretary of State’s Office in order to qualify a foreign 
corporation to do business in the state of Louisiana are the following:

             1.   The name must be identical to the name on certificate of existence or good standing from 
                  incorporating jurisdiction.  The certificate must be dated within 90 days of its submission.(In the 
                  states of Texas and Alabama, obtain a certificate of existence from the Secretary of State, not a 
                  good standing from the Comptroller/Department of Revenue.)

             2.   The name must be identical to the name on the certificate of fact evidencing the name change 
                  issued by the proper official of the incorporating jurisdiction.

             3.   The street address of the principal office of the corporation in the state or country under the laws 
                  of which it is incorporated.

             4.   The failure to include the federal taxpayer identification number of the corporation shall not 
                  invalidate nor cause the Secretary of State to reject theapplication.

             5.   The street address or intended street address of its principal business office wherever located. If 
                  you do not have one, write none in this space.

             6.   If none, registered agent’s address is deemed to be the principal business establishment.

             7.   This address shall be the street address of your registered agent if the agent is an individual
                  or corporation.

             8.   The agent must be an individual resident in Louisiana, an individual attorney or a  partnership 
                  which is authorized to practice law in Louisiana or a domestic or foreign corporation authorized 
                  to act as registered agent for other corporations.

             9.   To be completed only if the corporation proposes to limit its authority in Louisiana.

10.               Attach addendum if needed for additional officers and directors. 

NOTE: If the corporation includes in its name the words "engineer   ," "engineering   ,"surveyor"       ,"
                  or “surveying ,"please contact the Louisiana Professional Engineering and Land Surveying     
                  Board prior to submitting the application for authority. They can be contacted by phone (225) 
                  925-6291, by mail at  9643 Brookline Ave., Suite 121, Baton Rouge, LA 70809 or online at  
                  www.lapels.com.

                                         Mailing Address :P.O. Box 94125, Baton Rouge, LA 70804-9125
                                           Physical Address: 8585 Archives Ave., Baton Rouge, LA 70809
SS325  Rev. 05/18                                              www.sos.la.gov