Application For Foreign Nonprofit Corporation Seeking To Do Business In Arkansas {NPF-1}

$300.00 Filing Fee payable to Arkansas Secretary of State NPF-1Rev. APPLICATION FOR FOREIGN NONPROFIT CORPORATIONSEEKING AUTHORIZATION TO DO BUSINESS IN ARKANSAS (PLEASE TYPE OR PRINT CLEARLY IN INK) Pursuant to , the undersigned Foreign Nonprofit Corporationsubmits the following: 1a. The name of the corporation is:1b. If the corporation is doing business in this state under another name, please state: 2.The state, territory, or foreign country under whose laws the corporation was incorporated is: The date of incorporation is:The period of duration is: The address of its principal office or place of business is: 6.The name and address of its registered agent for service of process in Arkansas is: Check the box if the corporation has members.Had this corporation been incorporated in Arkansas, check the appropriate box to indicate what type ofcorporation itwould have been: (A.C.A. 4-32-1707) 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. Executed this day of , . Signature of Presiding Director or Officer Presiding Director or Officer (Type or Print) An original certificate of existence from the state of origin, dated in the past 30 days, must accompany the application. $'#$t 003n026020031025022037004020031031022r006025013021 American LegalNet, Inc. www.FormsWorkFlow.com Annual Report Contact Information Nonprofit PLEASE TYPE OR PRINT CLEARLY IN INK JURISDICTION (SELECT ONE) In order for this entity to receive its annual reporting form, please complete and file with the Office of the Secretary of State at the time of filing. Entity name as used in Arkansas Contact Person Street Address or Post Office Box Number City, State Zip Telephone Number E-mail AddressNOTE: Annual Reports will be due on or before August 1st the year following filing or qualification in this state.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. Executed this day of , . Signature Authorized Officer (Type or Print) $'#$t 003n026020031025022037004020031031022r006025013021 NPF-1/Rev. American LegalNet, Inc. www.FormsWorkFlow.com