Staement Of Domestication (Foreign Corp With AK Entity No. Domesticating To Domestic Corp.) {08-0591}

THE STATE of ALASKA Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing Corporations Section State Office Building, 333 Willoughby Avenue, 9th Floor PO Box 110806, Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Email: corporations@alaska.gov Website: http://commerce.alaska.gov/cbpl/corp STATEMENT OF DOMESTICATION These instructions and the attached form 08-591 are specifically for A Foreign (non-Alaskan) Business Corporation with an AK Entity Number Domesticating to a Domestic (Alaskan) Business Corporation Under the Alaska Entity Transactions Act AS 10.55.501 ­ AS 10.55.506 $175.00 filing fee. $ 25.00 Statement of Domestication (non-refundable) $150.00 Articles of Incorporation (non-refundable) INSTRUCTIONS FOR STATEMENT OF DOMESTICATION (Please retain for your records): NOTICE: The Statement of Domestication will not be filed if a biennial report is due. Please verify the following for the domesticating entity before completing the application: Is the qualified entity (on record with this division) in "Good Standing" status? Have all required biennial reports been filed? Are the officials on record correct, current and up to date? (Used to verify signatures for this filing.) Is the Registered Agent information on record correct, current and up to date? To verify the above information you may search for the entity by going to the above website, click License Search and under Search License Data select Corporations. If there is a biennial report due, it may be filed online (for immediate posting) by selecting Biennial Reports on the above website. If the officials have changed and there is no biennial report due then please submit a Notice of Change of Officials located on the above website under Forms and Fees. Select the appropriate version based on your entity type. If the Registered Agent information needs to be updated please submit a Statement of Change located on the above website under Forms and Fees. Select the appropriate version based on your entity type. WHAT IS A DOMESTICATION? Domestication (moving from a different jurisdiction or home state to a new jurisdiction or home state) means a transaction authorized by AS 10.55.501-10.55.506, with the exception of the entities excluded under AS 10.55.110. Under this: A foreign (non-Alaskan) business corporation may become a domestic (Alaskan) business corporation in this state if the domestication is authorized by the law of the foreign entity's jurisdiction of organization. __________________________________________________________________________________________________________ Statement of Domestication: Foreign Business Corp. with an AK Entity # Domestication to Domestic Business Corp. 08-0591 New 07/01/14 Instructions Page 1 of 6 American LegalNet, Inc. www.FormsWorkFlow.com ITEM 1: Provide the domesticating (moving from) foreign (non-Alaskan) business corporation name (which is moving from a different jurisdiction to Alaska) and the foreign jurisdiction (the home state from which the business corporation is leaving). ITEM 2: Provide the domesticated (moving to) domestic (Alaskan) business corporation name (which continues in existence after the domestication). A corporate name must contain the word "corporation," "company," "incorporated," or "limited," or an abbreviation of one of these words. The corporate name may not contain a word or phrase that indicates or implies that the corporation is organized for a purpose other than the purpose contained in its articles of incorporation. A corporate name must be distinguishable upon the record. To search the availability of the legal name of the corporation in the State of Alaska go to the above website and select Search Corporations Database. NOTE: The name of the business corporation in Item #2 on the Statement of Domestication must the name in match Article #1 on the Articles of Incorporation attached to this filing. ITEM 3: (Optional) The future effective date of domestication, if different from date of filing, must be a specific future date and cannot exceed 90 days from date of filing. ITEM 4: This statement is required by statute. Please read through and verify. ITEM 5: The domesticated domestic (Alaskan) entity's Articles of Incorporation must be attached. Choose only one of the options. Complete the Articles of Incorporation portion of this form -OR Provide Articles of Incorporation which satisfy the requirements in AS 10.06.205, .208, and .210, as an attachment. ITEM 6: The Statement of Domestication must be signed on behalf of the domesticating (moving from) entity (listed in Item #1 above) in the following manner: If the domesticating entity is a corporation, it must be signed by an officer of the corporation. If the domesticating entity is not a corporation, it must be signed by the person authorized by the entity. If the domesticating entity is in the hands of a receiver, trustee, or other court-appointed fiduciary, it must be signed by the fiduciary. If the domesticating entity is currently on record with this division (has an AK Entity Number) and the signer is an official of the entity then the signer must be currently on record with this division. Provide the printed name of the signer, the full title/capacity of the authorized signer, the name of the business corporation that the individual is representing, and signature of the individual authorized to sign. NOTE - Signatures: Per AS 10.55.609, persons who sign documents to be filed with the commissioner that are known by the person to be false in material respects are guilty of a class A misdemeanor. NOTE: Plan of Domestication -OR- Statement of Domestication Do not send both together. Submit either the Statement of Domestication OR the plan of domestication that is signed on behalf of all entities and contains all the information required to be in the Statement of Domestication and is delivered to the Division for filing after the plan has been adopted and approved by all merging entities. Sending both the plan of domestication and the Statement of Domestication together may cause delays in processing time. __________________________________________________________________________________________________________ Statement of Domestication: Foreign Business Corp. with an AK Entity # Domestication to Domestic Business Corp. 08-0591 New 07/01/14 Instructions Page 2 of 6 American LegalNet, Inc. www.FormsWorkFlow.com