Enclose 125filing fee Make remittance payable to Secretary of StateDo Not Send CashCommercial DivisionPO Box 94125Baton Rouge LA 708049125225 9254704wwwsoslagov Check one Non Profit ID: 893868
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1 Foreign CorporationReturn to: Enclos
Foreign CorporationReturn to: Enclose $125filing fee Make remittance payable to Secretary of StateDo Not Send Cash Commercial DivisionP.O. Box 94125Baton Rouge, LA 70804-9125(225) 925-4704www.sos.la.gov Check one:( ) Non Profit Check one:( ) Original Application( ) Business( ) Amended ApplicationPARISH/COUNTY OF1.Corporation name:2.Previous name:3.Principal office address in state or country of incorporation:4.Federal tax identification number:5.Principal business office address:PLEASE INCLUDE COMPLETE STREET ADDRESSES FOR THE FOLLOWING6.Principal business establishment in Louisiana:7.Registered office address in Louisiana:8.Registered agent’s name and address in Louisiana:9.Nature of business to be transacted in Louisiana:10.Names and addresses of directors and officers:To be signed by any officerTitle and DateSworn to and s
2 ubscribed before me, the undersigned Not
ubscribed before me, the undersigned Notary Public, on this date:Notary AGENT’S ACCEPTANCE AND ACKNOWLEDGEMENT OF APPOINTMENT I hereby acknowledge and accept the appointment of registered agent for and on behalf of the above named corporation. Registered AgentSworn to and subscribed before me on this date: SS Notary R.Kyle ArdoinSecretary of State APPLICATION FOR AUTHORITY TO TRANSACT BUSINESS IN LOUISIANA (R.S. 12:304) to do business in the stateuisiana are the following: The name must be identical to the name on days of its submission.(certificate of existence from the Secretary ofThe name must be identical to the name on thincipal office of the corporation in the state or country under theThe failure to includethe federal taxpayer identificationoffice wherever located.you do nour registered agent if the agent is an individualidual resident
3 in Louiwhich is authorized to practice
in Louiwhich is authorized to practice law in LouisiaTo be only if the corporation proposes to limit its authority in Louisiana. NOTE: If the corporation includes in its name the words engineer engineering surveyor Professional Engineering Land Surveyingcan be contacted by phone by mail at 9643 Brookline Ave., Suite 121, Baton Rouge, LA or online at OUISIANAECRETARY OF ecretary of State Mailing Address P.O. Box 94125, Baton Rouge, LA 70804-9125 hysical Address: SS325 Rev. 0 NOTE: /ouLsLana /aw requLres aOO /ouLsLana notarLes to prLnt or bar roOO number on tKe document. Fa[ numberEmaLO address Please indicate below the level of service requested, payment and contact information 2-4 hour processing*Do not put credit card information on this form. You may save payment information in your geauxBIZ profile under master account.24 hour processing