Fill and Sign the Csclcd 560 Rev Form

CSCL/CD-560 (Rev. 06/1 5) MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU Date Received (FOR BUREAU USE ONLY) This document is effective on the date filed, unless a subsequent effective date within 90 days after receiveddate is stated in the document. EFFECTIVE DATE: Name Address CityState ZIP Code Document will be returned to the name and address you enter above. If left blank, document will be returned to the registered office. APPLICATION FOR CERTIFICATE OF AUTHORITY TO TRANSACT BUSINESS OR CONDUCT AFFAIRS IN MICHIGAN For use by Foreign Corporations (Please read information and instructions on the last page) Pursuant to the provisions of Act 284, Public Acts of 1972 (profit cor porations), or Act 162, Public Acts of 1982 (nonprofit corporations), the undersi gned execute the following Application: 1. The name of the corporation is: 2.(Complete this item only if the corporate name in item 1 is not available for use in Michigan.) The assumed name of the corporation to be used in all its dealings with the Bureau and in the transaction of its business or conducting of its affairs in Michigan is: b. The mailing address if different than above: 4. a. The address of the main business or headquarters office of the corporation is: (Street Address) (City) (ZIP Code) (State) (Street Address) (City) (ZIP Code) (State) 3. . , and the term of existence It is incorporated under the laws of The date of its incorporation is if other than perpetual is . 7. (To be completed by profit corporations only)The total authorized shares of the corporation are: Signed this day of , (Type of Print Name ) By (Signature of Authorized Officer or Agent) , Michigan (Street Address or P.O. Box) (City)(ZIP Code) (Street Address) (City) The mailing address of the registered office in Michigan , if different than above: , Michigan (ZIP Code) 5. The street address of its registered office in Michigan is: The name of the resident agent at the registered office is: The resident agent is an agent of the corporation upon whom process against the corporation may be served. 6. The specific business or affairs which the corporation is to transact or conduct in Michigan is as follows: The corporation is authorized to transact such business or conduct those affairs in the jurisdiction of its incorporation. 8. If the applicant is a trust , please specify any powers or privileges possessed by the trust that are not possessed by an individual or a partnership. CSCL/CD-560 (Rev. 06/1 5) Submit with check or money order by mail: Michigan Department of Licensing and Regulatory Affairs Corporations, Securiti es & Commercial Licensing Bureau Corporation s Division P.O. Box 30054 Lansing, MI 48909 To submit in person: 2501 Woodlake CircleOkemos, MITelephone: (517) 241-6470 Fees may be paid by check, money order, VISA , Mastercard or Discover when delivered in person to our office. MICH-ELF (Michigan Electronic Filing System): First Time Users: Call (517) 241-6470, or visit our website at http://www.michi gan.gov/corporations Customer with MICH-ELF Filer Account: Send document to (517) 636-6437 INFORMATION AND INSTRUCTIONS 1. This Application for Certificate of Authority to Transact Business or Conduct Affairs must be used to procure a Certificate of Authority to Transact Business or Conduct Affairs in Michigan. A document re quired 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 advic e. 2. Submit one original of this document. Upon filing, the document will be added to the records of the Corporations, Securiti es & Commercial Licensing Bureau. The original will be returned to your register ed office address unless you enter a different address in the box o n the front of this document. Since this document will be maintai ned on electronic format, it is important that the filing be legible. Documents with poor black and white contrast, or otherwise illegible, will be rejected. LARA is an equal opportunity employer/program. Auxiliary aids , services and other reasonable accommodations are available upon request to individuals with disabilities. 3. This Application is to be used pursuant to the provisions of Chapter 10 of 1972 PA 284 or 1982 PA 162 , by a foreign corporation for the purpose of obtaining a Certificate of Authority to Transact Business or Conduct Affairs in this state. If the for eign corporation subsequently changes any of the information set forth in the Application for Certificate of Authority, it must file an Amended Applica tion for Certificate of Authority to Transact Business in Michigan (form CSCL/CD -562 for use by foreign profit corporations or form CSCL/CD-565 for use by foreign nonprofit corporations ) with the Bureau not later than 30 days after the time a change becomes e ffective. 4. Attach to this Application a certificate executed by the official of the jurisdiction having custody of corporate records stating that the corporation is in good standing under the laws of the jurisdiction of its incorporation. The cer tificate cannot be dated earlier than 30 days prior to the date of receipt in this office. 5 . Item 2 - A foreign corporation whose true name is not avail able for use in Michigan is permitted to apply for a Certificate of Authority under a n ass umed name which is available for use and whic h becomes the corporation'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 Transa ct Business or Conduct Affairs in Michigan is to be completed for this purpose only. Corporations may also transact business or conduct affairs under one or more assumed names by filing separate Certificates of Assumed Name . ( ) Preparer's name and business telephone number: 10. FEES : Make remittance payable to the State of Michigan. Include corporation name on check or money order. Profit Corporations NONREFUNDABLE.............................. INITIAL FRANCHISE FEE.................... TOTAL INITIAL ADMISSION FEES...... $10.00$50.00$60.00 Nonprofit Corporations NONREFUNDABLE..............................FRANCHISE FEE.................................. TOTAL INITIAL ADMISSION FEES...... $10.00$10.00$20.00 9 . The Application must be signed by an authorized officer or agent of the corporation. 8 . 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. 7 . Item 7 - Indicate the total authorized shares (not amount iss ued) from the Articles of Incorporation or most recent amendme nt. 60,000 shares will be considered initially attributable to Michigan. If shares attri butable to Michigan increase to over 60,00 0, or are subsequently changed, the corporation shall file an amended application in acco rdance with section 1021. To determine the total authorized shares attributable to Michigan, multiply the total authorized shares by the most re cent appointment percentage from the Michigan tax return. 6 . Item 6 - This item should state only the specific business or affairs to be transacted or conducted in Michigan. An all purpose activ ities statement is not permitted. Foreign cor porations cannot transact business or conduct affairs that a domestic corporation cannot lawfully transact or conduct. Optional expedited service. Expedited review and filing, if fileable, is available for all documents for profit corporations, limited liability companies, limited partnerships and nonprofit corporations. The nonrefundable expedited service fee is in addition to the regular fees applicable to the specific document. Please complete a separate CSCL/CD-272 form for expedited service for each document submitted in person, by mail or MICH-ELF.24-hour service - $50 for formation documents and applications for certificate of authority. 24-hour service - $100 for any document concerning an existing entity. Same day service Same day - $100 for formation documents and applications for certificate of authority. Same day - $200 for any document concerning an existing entity. Review completed on day of receipt. Document and request for same day expedited service must be received by 1 p.m. EST OR EDT. Two hour - $500 Review completed within two hours on day of receipt. Document and request for two hour expedited service must be received by 3 p.m. EST OR EDT. One hour - $1000 Review completed within one hour on day of receipt. Document and request for 1 hour expedited service must be received by 4 p.m. EST OR EDT. First time MICH-ELF user requesting expedited service must obtain a MICH-ELF filer number prior to submitting a document for expedited service. CSCL/CD-901. Changes to information on MICH-ELF user's account must be submitted before requesting expedited service. CSCL/CD-901.Documents submitted by mail are delivered to a remote location for receipts processing and are then forwarded to the Corporation s Division for review. Day of receipt for mailed expedited service requests is the day the Corporation s Division receives the request. Rev. 6/1 5 CSCL/CD-760 (Rev. 08/15 ) MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU Date Received This document is effective on the date filed, unless a subsequent effective date within 90 days after receiveddate is stated in the document. EFFECTIVE DATE: Name Address CityState ZIP Code Document will be returned to the name and address you enter above. If left blank, document will be returned to the registered office. (FOR BUREAU USE ONLY) APPLICATION FOR CERTIFICATE OF AUTHORITY TO TRANSACT BUSINESS IN MICHIGANFor use by Foreign Limited Liability Companies (Please read information and instruction on last page) B Pursuant to the provisions of Act 23, Public Acts of 1993, the undersigned execute the following Application: 2. (Complete this item only if the limited liability com pany name in Item 1 is not available for use in Michigan.) The assumed name of the limited liability company to be used in all its dealings with the Bureau and in the transaction of its business in Michigan is: 4. The address of the office required to be maintained in the state of organization or, if not so required, the principal office of the limited liability company is: 1. The name of the limited liability company is: 3. It is organized under the laws of The date of its organization is The duration of the limited liability company if other than perpetual is (Street Address) (City) (ZIP Code) (State) 5. a. The street address of its registered office in Michigan is: , Michigan (Street Address)(City)(ZIP Code) (City) b. The mailing address of the registered office, if different than above: , Michigan (Street Address or P.O. Box) (ZIP Code) c. The name of the resident agent at the registered office is: 6. The Department is appointed the agent of the foreign limited liability company for service of process if no agent has been appointed, or if appointed, the agent's authority has been revoked, the agent has resigned, or the agent cannot be found or served through the exercise of reasonable diligence. The name and address of a member or manager or other person to whom the administrator is to send copies of any process served on the administrator is: (Must be different than agent shown in Item 5c) (Name) (Street Address) (City) (ZIP Code) (State) 7. The specific business which the limited liability company is to transact in Michigan is as follows: The limited liability company is authorized to transact such business in the jurisdiction of its organization. Signed this day of , By (Signature) (Type or Print Name) (Type or Print Title) Submit with check or money order by mail: Michigan Department of Licensing and Regulatory Affairs Corporations, Securiti es & Commercial Licensing Bureau Corporation s Division P.O. Box 30054 Lansing, MI 48909 To submit in person: 2501 Woodlake Circle Okemos, MI Telephone: (517) 241-6470 Fees may be paid by check, money order, VISA or Mastercard when delivered in person to our office. MICH-ELF (Michigan Electronic Filing System): First Time Users: Call (517) 241-6470, or visit our website at http://www.michigan.gov/corporations Customer with MICH-ELF Filer Acc ount: Send document to (517) 636-6437 LARA is an equal opportunity employer/program. Auxiliary aids , services and other reasonable accommodations are available upon request to individuals with disabilities. INFORMATION AND INSTRUCTIONS 1. This Application for Certificate of Authority must be used to obtain a Certificat e 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 doc ument and agency staff cannot provide legal advice. 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 CSCL/CD-760 (Rev. 08/15) Preparer's Name Business telephone number ( ) 9. This document is effective on the dat e 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. 6. Item 7 - This item should state only t he specific business to be transacted in Mich igan. An all purpose activities statement is not permitted. 5. Item 6 - The person must be diffe rent than agent shown in Item 5(c). 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 liabi lity 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 Au thority, 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. 2. Submit one original of this document. Upon filing, the document will be added to the records of the Corporations, Securiti es & 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 elec tronic format, it is important that the filing be legible. Documents with poor b lack and white contrast, or otherwise illegible, will be rejected. 8. Attach to this Application a certif icate executed by the official of the juri sdiction having custody of limited liability c ompany records stating that the limited liability company is in good st anding 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. 7. The Application must be signed by a person with authority to sign as provided in the laws of the jurisdiction of its organization. 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 us e. The assumed name becomes the limited liability company's name in Michigan to be used in all transacti ons 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 liab ility companies may also transact business under other assumed names by fili ng separate Certificate of Assumed Name. Optional expedited service. Expedited review and filing, if fileable, is available for all documents for profit corporations, limited liability companies, limited partnerships and nonprofit corporations. The nonrefundable expedited service fee is in addition to the regular fees applicable to the specific document. Please complete a separate CSCL/CD-272 form for expedited service for each document submitted in person, by mail or MICH-ELF.24-hour service - $50 for formation documents a nd applications for certificate of authority. 24-hour service - $100 for any documen t concerning an existing entity. Same day service Same day - $100 for formation documents and applications for certificate of authority. Same day - $200 for any document concerning an existing entity. Review completed on day of receipt. Document and request for same day expedited service must be received by 1 p.m. EST OR EDT. Two hour - $500 Review completed within two hours on day of receipt. Document and request for two hour expedited service must be received by 3 p.m. EST OR EDT. One hour - $1000 Review completed within one hour on day of receipt. Document and request for 1 hour expedited service must be received by 4 p.m. EST OR EDT. First time MICH-ELF user requesting expedited service must obtain a MICH-ELF filer number prior to submitting a document for expedited service. CSCL/CD-901. Changes to information on MICH-ELF user's account must be submitted before requesting expedited service. CSCL/CD-901.Documents submitted by mail are delivered to a remote location for receipts processing and are then forwarded to the Corporation s Division for review. Day of receipt for mailed expedited service requests is the day the Corporation s Division receives the request. Rev. 08/15