Form Cscl/cd-760 - Application For Certificate Of Authority To Transact Business In Michigan - 2014 Page 3

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CSCL/CD-760 (Rev. 01/14)

Preparer's Name

(

)

Business telephone number

INFORMATION AND INSTRUCTIONS

1. This Application for Certificate of Authority must be used to obtain a Certificate of Authority to Transact Business in Michigan.

A document required or permitted to be filed under the act cannot be filed unless it contains the minimum information required

by the act. This is a legal document and agency staff cannot provide legal advice.

2. Submit one original of this document. Upon filing, the document will be added to the records of the Corporations, Securities &

Commercial Licensing Bureau. The original will be returned to your registered office address, unless you enter a different address in

the box on the front of this document.

Since this document will be maintained on electronic format, it is important that the filing be legible. Documents with poor black and

white contrast, or otherwise illegible, will be rejected.

3. This Application is to be used pursuant to the provisions of Article 10 of Act 23, P.A. of 1993, by a foreign limited liability company

for the purpose of obtaining a Certificate of Authority to Transact Business in this State. If the foreign limited liability company

subsequently changes any of the information set forth in the Application for Certificate of Authority, it must file an Amended Application

for Certificate of Authority to Transact Business in Michigan (form CSCL/CD-762) with the Bureau not later than 30 days after the time

a change becomes effective.

4. Item 2 - A foreign limited liability company whose name is not available for use in Michigan is permitted to apply for a Certificate of

Authority under an assumed name which is available for use. The assumed name becomes the limited liability company's name in

Michigan to be used in all transactions and in its dealings with the administrator. Item 2 of the Application for Certificate of Authority

to Transact Business in Michigan is to be completed for this purpose only. Limited liability companies may also transact business

under other assumed names by filing separate Certificate of Assumed Name.

5. Item 6 - The person must be different than agent shown in Item 5(c).

6. Item 7 - This item should state only the specific business to be transacted in Michigan. An all purpose activities statement is not

permitted.

7. The Application must be signed by a person with authority to sign as provided in the laws of the jurisdiction of its organization.

8. Attach to this Application a certificate executed by the official of the jurisdiction having custody of limited liability company records

stating that the limited liability company is in good standing under the laws of the jurisdiction of its organization. The certificate

cannot be dated earlier than 30 days prior to the date of receipt in this office.

9. This document is effective on the date endorsed "Filed" by the Bureau. A later effective date, no more than 90 days after the date of

delivery, may be stated as an additional article.

10. NONREFUNDABLE FEE: Make remittance payable to the State of Michigan. Include limited liability company name and identification

number on check or money order......................................................................................................................................................$50.00

Submit with check or money order by mail:

To submit in person:

Michigan Department of Licensing and Regulatory Affairs

2501 Woodlake Circle

Corporations, Securities & Commercial Licensing Bureau

Okemos, MI

Corporations Division

Telephone: (517) 241-6470

P.O. Box 30054

Lansing, MI 48909

Fees may be paid by check, money order, VISA or

Mastercard when delivered in person to our office.