Request For Copy

Request for CopySecretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - http://www.FilingInOregon.com - Phone: (503) 986-2200 Copy Request Fax: 503-378-6520 Request for Copy (4/18) REQUESTER INFORMATION: Name of Requester: Mailing Address: (Street Address or PO Box)(City, State)(Zip Code) Area Code and Phone Number: DELIVERY: Choose Delivery Option(s) (Please note that there is a separate charge per delivery.) Pick up in person. Mail to above address. Fax: (USA Only - Area Code & Fax Number) Certified copies cannot be faxed. For all overnight/express service delivery, a prepaid airbill must be provided. DOCUMENT FILE REQUEST: Document File (The original filing and any supplemental filings.) Specific Document Assumed Business Name File (The original application and any additional filings.) If document is going out of the Country: (Additional $10 for Authentication) What Country? Specific documents are any document including annual reports (January 2003 forward) and registered agent changes. Certified Copy ($15 each) Plain Copy ($5 each) Plain Copy ($5 each) Certified Copy ($15 each) Plain Copy ($5 each) Certified Copy ($15 each)orororChoose appropriate document type and if you are ordering certified or plain copies.SPECIFIC DOCUMENT REQUEST: Phone Number: City, State, Zip Code: Billing Address: Cardholder Name: Expiration Date:CREDIT CARD NUMBER: MasterCard VISA Discover American ExpressCREDIT CARD NUMBER:METHOD OF PAYMENT: Check/Money order is included. (Make payable to Corporation Division.) Entity Name: Registry Number:ENTITY NAME/REGISTRY NUMBER: Information is located at http://sos.oregon.gov/bizsearch American LegalNet, Inc. www.FormsWorkFlow.com