KENTUCKY
Director, Division of
OREGON
Director, Department of
Securities
Insurance and Finance
LOUISIANA
Commissioner of Securities
OKLAHOMA
Securities Administrator
MAINE
Administrator, Securities
*** PENNSYLVANIA
Pennsylvania does not
Division
require filing of a Consent to
Service of Process.
MARYLAND
Commissioner of the
Division of Securities
PUERTO RICO
Commissioner of Financial
Institutions
MASSACHUSETTS
Secretary of State
RHODE ISLAND
Director of Business
MICHIGAN
Administrator, Corporation
Regulation
and Securities Bureau,
Department of Commerce
SOUTH CAROLINA
Securities Commissioner
MINNESOTA
Commissioner of Commerce
SOUTH DAKOTA
Secretary of State
Secretary of State
MISSISSIPPI
TENNESSEE
Commissioner of
Commerce and Insurance
Securities Commissioner
MISSOURI
TEXAS
Securities Commissioner
State Auditor and
MONTANA
Commissioner of Insurance
UTAH
Director, Division of
Securities
Director of Banking and
NEBRASKA
Com. of Banking, Ins.,Securities & HCA
Finance
VERMONT
Secretary of State
NEVADA
VIRGINIA
Clerk, State Corporation
Commission
Secretary of State
NEW HAMPSHIRE
WASHINGTON
Director of the Department
Chief, Securities Bureau
NEW JERSEY
of Financial Institutions
Director, Securities Division
NEW MEXICO
WEST VIRGINIA
Commissioner of Securities
Secretary of State
NEW YORK
WISCONSIN
Commissioner of Securities
Secretary of State
NORTH CAROLINA
WYOMING
Secretary of State
Securities Commissioner
NORTH DAKOTA
Dated this __________ day of __________, ______.
__________________________________________
By_________________________________________
(SEAL)
___________________________________________
TITLE
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