Certificate Of Appointment Of Resident Agent

Filing Fee: $10.00 IDENTIFICATION no. ____________________ The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512 CERTIFICATE OF APPOINTMENT OF RESIDENT AGENT (General Laws, Chapter 180, Section 10C) I, _____________________________________________________________________________________ , *Clerk / *Assistant Clerk of _________________________________________________________________________________________________________ , (Exact name of corporation) having a principal office at ______________________________________________________________________________________ , (Street address of corporation in Massachusetts) certify that pursuant to General Laws, Chapter 180, Section 10C, said corporation has appointed the following *individual /*corporation as its resident agent, to be its true and lawful attorney upon whom all lawful processes in any action or proceeding against it may be served: ____________________________________________________________________________________________________________ (Exact name of *individual / *corporation) of _________________________________________________________________________________________________________ (Business and residential address if individual / business address if corporation) ___________________________________________________________________________________________________________ . **I further certify that the following is a true copy of the vote of the directors, duly adopted appointing said resident agent: and that to the best of my knowledge and belief, the residential and business addresses stated above are those of the resident agent. SIGNED UNDER THE PENALTIES OF PERJURY, this __________ day of________________________________ , 20 ___________, _______________________________________________________________________________________ , *Clerk / *Assistant Clerk. *Delete the inapplicable words. **Indicate the complete tally of the vote of the directors, duly adopted, appointing said resident agent. American LegalNet, Inc. www.FormsWorkFlow.com 180cara 11/7/13 THE COMMONWEALTH OF MASSACHUSETTS CERTIFICATE OF APPOINTMENT OF RESIDENT AGENT (General Laws, Chapter 180, Section 10C) I hereby approve the within Certificate of Appointment of Resident Agent and, the filing fee in the amount of $ ______________ having been paid, said certificate is deemed to have been filed with me this ________ day of ___________________ , 20 _______ . WILLIAM FRANCIS GALVIN Secretary of the Commonwealth TO BE FILLED IN BY CORPORATION Contact information: _________________________________________________________ _________________________________________________________ _________________________________________________________ Telephone: _________________________________________________ Email: __________________________________________________________ A copy this filing will be available on-line at www.state.ma.us/sec/cor once the document is filed. American LegalNet, Inc. www.FormsWorkFlow.com