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                                     STATE OF LOUISIANA                                                    Commercial Division    
                                                                                                           (225) 925-4704
                                     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

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 
                     Physical Address: 8585 Archives Ave., Baton Rouge, LA 70809         
                                                         www.sos.la.gov

 SS984  Rev. 05/18



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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



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                                                   STATE OF LOUISIANA

                                                 SECRETARY OF TATE S
 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






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