ArkansasSecretaryofState                                                                                           
                                                                     1401 W. Capitol Avenue, Suite 250, Little Rock, AR 72201
                        John Thurston                                                      501-682-3409 • www.sos.arkansas.gov

                                Application for Certificate of Authority
                                                             (Please type or print)

Pursuant  to  the  provisions  of  the Act  958  of  1987  and      Arkansas  Code  Annotated  §  4-27-1503,  the  undersigned  as 
the duly authorized  and  acting  president,  secretary,  treasurer,  superintendent  or  managing  agent  in  the  State  of 
Arkansas, of the foreign corporation named below (the "corporation") for which this statement is submitted, under oath hereby 
states:

1a. The name of the corporation is:

1b. Fictitious name to be used in Arkansas:
    (The corporation may use a fictitious name to transact business in Arkansas, if its real name is unavailable, and it delivers 
    to the Secretary of State a copy of the resolution of its board of directors, certified by its secretary, adopting a fictitious name.)

2. The state, territory or foreign country under whose laws the corporation was incorporated is:

    Date Incorporated:                                       Period of Duration:

3.  The nature of the business of the corporation and the object or purposes to be transacted, promoted or carried on by it are:

4. The address of the general office or place of business of the corporation in Arkansas is designated to be:

    (Street at Address)                  (City)                                    (State)                  (ZIP)
5.  The name and address of the registered agent upon whom Service of Process is authorized to be made in Arkansas is:

    (Name)                               (Street at Address)                       (City)        (State)    (ZIP)
6. The address of the general office or principal place of business of the corporation is:

    (Street at Address)                  (City)                                    (State)                  (ZIP)
7.  The number and par value, if any, of shares of the corporation's capital stock owned or to be owned by residents of Arkansas:
       Number of shares:                                                           Par value of shares:
8.  The name and title of at least one corporate officer (attach additional page, if needed)
    Name                                                      Title (President, Vice President, Secretary, Treasurer, Controller, etc.) 
    _____________________________________________             _________________________________________________________
9.  The foreign corporation shall deliver with the completed application a certificate of existence (or document of similar
import) duly authorized by the Secretary of State or other official having custody of corporate records in the state or
country under whose laws it is incorporated.
10. A filing fee of $300.00 is submitted herewith in accordance with A.C.A 4-27-122.

11. I understand that knowingly signing a false document with the intent to file it with the Arkansas Secretary of State is a
Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.
Witness the hand executed under oath by the undersigned in behalf of the corporation on this the __________ 
dayof __________________ , ______________.

(Signature of Authorized Officer)                                   (Title of Authorized Officer)

Fee $300.00 payable to Arkansas Secretary of State                                                               F-01/Rev. 12/20

                 ArkansasSecretaryofState                                                                         
                                                   1401W.Capitol,   Suite 250, LittleRock , AR 72201
                 John Thurston                      501-682-3409 • www.sos.arkansas.gov
                                    
                                   CORPORATE FRANCHISE TAX

In order for this corporation to receive its annual corporate franchise tax reporting form,
please complete and file with the office of the Secretary of State at the time of incorporation
or qualification.

                                   Corporate name

                                   Contact person

                                   Street address or Post Office Box number

                                   City, State, ZIP

Telephone number                                   E-mail address

                                   IRS link for obtaining a Federal Tax ID: https://www.irs.gov/businesses/small-
                                   businesses-self-employed/how-to-apply-for-an-ein
Federal Tax ID

I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State
is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.

Authorized Officer (Type or Print) Authorized Signature of Incorporator, Officer or Agent for the Corporation

                                                                                    FT-11 Rev. 12/20