Foreign Corporation Name Registration {08-558}

08-558 Rev 12/1/16 F Corp New Name Reg 1 of 2 Foreign Corporation Name Registration AS 10.06.125 - .145 and AS 10.06.105(c) A foreign (non-Alaskan) corporation may register its foreign corporate name if the name is available in the State of Alaska. 227 AS 10.06.125 A foreign corporation name registration cannot contain a corporate indicator, such as but not limited to:corporation, INC, company, limited, or an abbreviation of a corporate indicator. 227 AS 10.06.105(c) A foreign corporation name registration must be distinguishable, per 3 AAC 16.120, fr other names onrecord. 227 AS 10.06.105(d) A foreign corporation name registration expires at the end of the calendar year. 227 AS 10.06.145 A Certificate of Good Standing from the foreign corporation222s home state of territory of domicile must beattached. IMPORTANT: A foreign corporation name registration is only for the exclusive right to the name and does not register a foreign entity nor give a foreign entity the authority to transact business in Alaska. To register a foreign entity with this Division, go to www.Corporations.Alaska.Gov To obtain an Alaska Business License, go to www.BusinessLicense.Alaska.Gov COR 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: Corporations.Alaska.Gov NEW Application Only 1. Fee: $25 Nonrefundable Filing Fee (CORF) 3 AAC 16.010(b) Mail this form and the non-refundable $25 filing fee in U.S. dollars to the letterhead address. Make the check or money order payable to the State of Alaska, or use the attached credit card payment form. 2. Foreign (non-Alaskan) Name Registration: Must not contain a corporate indicator, per AS 10.06.105(c) 3. Foreign (non-Alaskan) Home State or Territory of Domicile: FOR DIVISION USE ONLY T HE S TATE ALASKA of Department of Commerce, Community and Economic Development Division of Corporations, Business and Professional Licensing American LegalNet, Inc. www.FormsWorkFlow.com 08-558 Rev 12/1/16 F Corp New Name Reg 2 of 2 4. Date of Incorporation in Home State: Month: Day: Year: 5. Principal Office Address: Mailing Address: Physical Address: 6. Nature of the Business: 7. Certificate of Good Standing: (Mandatory) A Certificate of Good Standing from the Home state or Territory of Domicile e attached. The certificate have been issued within the last 60 days. 8. Signature: The signer must be an officer of the corporation and acknowledge the business is in operation. Sign : Name : Title: Date: Note: if you wish to register a foreign entity under the same foreign corporate name registration, a notice of cancellation must be sent to this office prior to the foreign entity registration. To prevent a gap between the cancellation of the foreign corporation name registration and the foreign entity registration, submit both filings together hardcopy. American LegalNet, Inc. www.FormsWorkFlow.com 08-561 Rev 7/14/16 Contact Information Return this form with your filing This information may be used by the Division to assist with processing your attached filings This form will not be filed for record, or appear online COR 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: Corporations.Alaska.Gov Contact Information Entity Information Enter your entity information as it appears on this filing. Entity Name: AK Entity #: Contact Person Whom may we contact with any questions or problems with this filing? Company: Contact: Mailing Address: Address: City: State: ZIP: Phone: Email: Document Return Address Provide an address for the return of your filed documents. Return my filings to the address provided ABOVE Return my filings to this address provided BELOW Company: Contact: Mailing Address: Address: City: State: ZIP: FOR DIVISION USE ONLY T HE S TATE ALASKA of Department of Commerce, Community and Economic Development Division of Corporations, Business and Professional Licensing American LegalNet, Inc. www.FormsWorkFlow.com All major credit cards are accepted. For security purposes, do not email credit card information. Include this credit card payment form with your application. Name of Applicant or Licensee: Program Type: License Number (if applicable): I wish to make payment by credit card for the following (check all that apply): AMOUNT Application Fee: License or Renewal Fee: Other (name change, wall certificate, fine, duplicate license, exam, etc.): 1. 2. TOTAL: Name (as shown on credit card): Mailing Address: Phone Number: Email (optional): Signature of Credit Card Holder: 08-4438 Rev 12/26/18 Credit Card Payment Form (all major cards accepted) State of Alaska Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing PO Box 110806, Juneau, AK 99811 Phone: (907) 465-2550 Credit Card Payment Form CREDIT CARD INFO: Your payment cannot be processed unless all fields are completed! All four fields MUST be completed! This section will be destroyed after the payment is processed. 1. Account Number : 2. Expiration Date: 3. Billing ZIP Code: 4 . Security Code : FOR DIVISION USE ONLY T HE S TATE ALASKA of Department of Commerce, Community , and Economic Development Division of Corporations, Business and Professional Licensing American LegalNet, Inc. www.FormsWorkFlow.com