Fill and Sign the Expedited Handling Services New York State Department Form

Page 1 of 3 DOS-1335-f-l (Rev. 03/12) New York State Department of State Division of Corporations, State Records and Uniform Commercial Code One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 www.dos.ny.gov APPLICATION FOR AUTHORITY OF (Insert Corporate Name) Under Section 1304 of the Business Corporation Law FIRST: The name of the corporation is: If the name does not contain a required word or abbreviation indicating \ corporate character pursuant to § 301 of the Business Corporation Law, the corporation ag\ rees to add the word or abbreviation to the end of its name for us\ e in this state. (Do not complete this section unless the corporation’s true name is \ not available pursuant to §301 or § 302 of the Business Corporation Law.) The fictitious name under which the corporation will do business in New York is: SECOND: The jurisdiction in which the corporation was organized is: The date of its incorporation is: THIRD: This corporation is formed to engage in any lawful act or activity for w\ hich a corporation may be organized under the Business Corporation Law, provide\ d that it is not formed to engage in any act or activity requiring the consent or approval of an\ y state official, department, board, agency or other body without such consent or approval first being\ obtained. FOURTH: The county within this state in which the office\ of the corporation is to be located is: (A county in New York State is required. Please note that the corporati\ on is not required to have an actual physical office in this state.) Page 2 of 3 DOS-1335-f-l (Rev. 03/12) FIFTH: The Secretary of State is designated as agent of the c\ orporation upon whom process against the corporation may be served. The address to which the Secretar\ y of State shall mail a copy of any process accepted on behalf of the corporation is: SIXTH: (Check the statement that applies.) The foreign corporation has not since its incorporation or since the dat\ e its authority to do business in New York was last surrendered, engaged in an\ y activity in this state. The consent of the New York State Tax Commission is attached. X (Signature) (Name of Signer) (Title of Signer) Page 3 of 3 DOS-1335-f-l (Rev. 03/12) APPLICATION FOR AUTHORITY OF (Insert Corporate Name) Under Section 1304 of the Business Corporation Law Notes: 1. You must also submit a Certificate of Existence from the official who\ files and maintains incorporation records in the jurisdiction of the corporation’s formation. 2. The name of the corporation and date of incorporation must exactly ma\ tch the name of the corporation and, if applicable, the date of incorporation stated in the Certificate of E\ xistence. 3. The Application for Authority must be signed by an officer, director \ or duly authorized person. 4. Attach the consent of the NYS Tax Commission, if required. To reques\ t consent, call the NYS Department of Taxation and Finance at (518) 485-2639. 5. The Application for Authority must be submitted with a $225 filing fe\ e, made payable to the Department of State. 6. You are not required to use this form. You may draft your own form o\ r use forms available at legal stationery stores. The Department of State recommends that legal documents be prepared u\ nder the guidance of an attorney. Filed by: (Name) (Mailing Address) (City, State and Zip Code) (For Office Use Only)