Statement Of Domestication (A Foreign LLC Without AK Number Domesticating To LLC) {08-0595}

Statement of Domestication: Foreign LLC without AK Entity # Domesticating to a Domestic LLC 08-0595 New 07/01/2014 Instructions Page 1 of 4 STATEMENT OF DOMESTICATION These instructions and the attached form 08-595 are specifically for A Foreign (non-Alaskan) Limited Liability Company without an AK Entity Number Domesticating to a Domestic (Alaskan) Limited Liability Company Under the Alaska Entity Transactions Act AS 10.55.501 - AS 10.55.506 and AS 10.50.075 $275.00 filing fee. $ 25.00 Statement of Domestication (non-refundable) $250.00 Articles of Organization (non-refundable) INSTRUCTIONS FOR STATEMENT OF DOMESTICATION (Please retain for your records): 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) limited liability company may become a domestic (Alaskan) limited liability company in this state if the domestication is authorized by the law of the foreign entity222s jurisdiction of organization. NOTICE: The Statement of Domestication must be filed in conjunction with Articles of Organization (attached to this form) for a domestic (Alaskan) Limited Liability Company and the applicable $250.00 fee (which is already included in the above stated filing fees). ITEM 1: Provide the domesticating (moving from) foreign (non-Alaskan) limited liability company name (which is moving from a different jurisdiction to Alaska), the jurisdiction (the home state from which the limited liability company is leaving). (Note: the entity type in Item #1 must match the entity type in Item #2.) ITEM 2: Provide the domesticated (moving to) domestic (Alaskan) limited liability company name (which continues in existence after the domestication). (Note: the entity type in Item #2 must match the entity type in Item #1.) The name of the limited liability company must contain the words 223limited liability company224 or the abbreviation 223L.L.C.,224 or 223LLC224. The word 223limited224 may be abbreviated as 223Ltd.,224 and the word 223company224 may be abbreviated as 223Co.224 The name of a city, borough, or village may be used in a limited liability company name; however, the name may not contain the word 223city,224 223borough,224 or 223village224 or otherwise imply that the company is a municipality. A company 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, click License Search, and select Search Corporations Database. 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 ALASKADepartment of Commerce, Community, and Economic DevelopmentDivision of Corporations, Business and Professional Licensing THESTATEof American LegalNet, Inc. www.FormsWorkFlow.com Statement of Domestication: Foreign LLC without AK Entity # Domesticating to a Domestic LLC 08-0595 New 07/01/2014 Instructions Page 2 of 4 NOTE: the name of the limited liability company in Item #2 on the Statement of Domestication must match Article #1 in the Articles of Organization portion of 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. Future effective date (mm/dd/yyyy format). ITEM 4: This statement is required by statute. Please read through and verify. ITEM 5: The domesticated (moving to) entity is a domestic (Alaskan) limited liability company; therefore the text of the converted entity222s articles of organization must be attached.to this Statement of Domestication. Choose only one of the options. Complete the attached Articles of Organization portion of this form. -OR- Provide Articles of Organization, which satisfy the requirements of AS 10.50.075 and AS 10.55.505, 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. 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 226OR- 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. SUBMITTAL: Please submit forms and payment together. Mail the Statement of Domestication (form 08-595) and the $275.00 non-refundable filing fee in U.S. dollars to: o State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 If faxing the form please include the Credit Card Payment form with the appropriate fees. Do not email forms or payment. STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. American LegalNet, Inc. www.FormsWorkFlow.com Statement of Domestication: Foreign LLC without AK Entity # Domesticating to a Domestic LLC 08-0595 New 07/01/2014 Instructions Page 3 of 4 INSTRUCTIONS FOR ARTICLES OF ORGANIZATION: These instructions are specific for the Articles of Organization which must be attached to the Statement of Domestication (form 08-595). ARTICLE 1: Name of the Limited Liability Company Provide the name of the domestic (Alaskan) limited liability company here: A limited liability name must contain the words 223limited liability company224 or the abbreviation 223L.L.C.,224 or 223LLC224. The word 223limited224 may be abbreviated as 223Ltd.,224 and the word 223company224 may be abbreviated as 223Co.224 The name of a city, borough, or village may be used in a limited liability company name; however, the name may not contain the word 223city,224 223borough,224 or 223village224 or otherwise imply that the company is a municipality. A 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, click License Search, and select Search Corporations Database. NOTE: the name of the limited liability company in Article #1 on the Articles of Organization must match the name in Item #2 on the Statement of Domestication portion of this filing. ARTICLE 2: Disclosure of Corporate Purposes The purpose describes activities of the corporation at the time of filing and may include 223any lawful.224 In addition to purpose, also include the NAICS code where indicated. NAICS code may not conflict with the purpose listed. For a complete list of NAICS codes go to the above website and select NAICS Codes. ARTICLE 3: Registered Agent Per Alaska Statues a limited liability company shall (must) continuously (without interruption) maintain in this state (Alaska only) a registered agent and a registered office. The registered agent of this domestic limited liability company must be an individual who is a resident of Alaska,