Registration Or Renewal Of Corporate Name (Foreign Corporations)

FILING FEE: $35.00 Revised Neb. Rev. Stat. 24421-232 & 24421-1933 REGISTRATION OR RENEWAL OF CORPORATE NAME FOREIGN CORPORATIONS , Secretary of State P.O. Box 94608 Lincoln, NE 68509 Attach a certificate of existence from the state or country of incorporation executed by the official having custody of such records. The certificate must be no more than sixty (60) days old at the time of filing of this document. Application for (check one): Initial Registration Renewal Renewal of a registered name must be filed between October 1st and December 31st and is effective for the following year. Name of Corporation Incorporated under the laws of Date of Incorporation Business in which corporation is engaged DATED Signature Printed Name/Title NOTE: Every filing must be signed by the chairperson of the board of directors, the president, or one of the officers of the corporation. If the corporation has not yet been formed or directors have not yet been selected, the filing shall be signed by an incorporator. If the corporation is in the hands of a receiver, trustee, or other court appointed fiduciary, the filing shall be signed by that fiduciary. American LegalNet, Inc. www.FormsWorkFlow.com