NAME OF CORPORATION

BUSINESS ACTIVITY: A brief description of the business activity.

PRINCIPAL PLACE OF BUSINESS: Physical street address. The principal office may not be a commercial mail receiving agency, a mail forwarding business or a virtual office.

REGISTERED AGENT: Name of the person who is going to accept legal service for this business.

OREGON STREET ADDRESS OF THE REGISTERED AGENT:The address must be in Oregon and must match the address of the registered agent's business office. The registered office may not be a commercial mail receiving agency, a mail forwarding business or a virtual office.

ADDRESS TO SEND NOTIFICATIONS: Mailing address

STATEMENT: This statement is necessary if the registered agent changes.

STATEMENT: This statement is necessary if the registered agent changes.

INDIVIDUAL WITH DIRECT KNOWLEDGE (Name and Address) List the name and address of at least one person who is a director, controlling shareholder or an authorized representative with direct knowledge of the operations and business activities of the Corporation.​

PRESIDENT AND SECRETARY: The information provided will replace the information currently on the record. List both the president and secretary's names and addresses.

EXECUTION / SIGNATURE: Declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, obscure, alter, or otherwise misrepresent the identity of any person including officers, directors, employees, members, managers or agents. This filing has been examined and is, to the best of your knowledge and belief, true, correct and complete. Making false statements in this document is against the law and may be penalized by fines, imprisonment, or both.​​​