I/We *

First

Last

I/We (copy)

First

Last

Of:

Choices for company name:

One name per line.

The Articles of Organization must specify how the limited liability company is to bemanaged:

Certificate of Good Standing:

Individual Nominee Member:

Corporate Nominee Member:

Use of P.O. Box Number:

5. Provide a detailed description of the activities of the proposed Company:

6. In what countries will the Company be operating?

8. Source of funding for shares and assets held by the Company.

9. Do you require Operational Agreement?

9a. *If yes, do you require the Operation Agreement to be filed as an exhibit to the Articles of Association?

10. Company Seal to be provided by:

11. Do you require a bank account?

If yes, we will send you a list of the banks we recommend.

12. Do you require notarization and/or apostille?

12a. If yes, please specify which docs.

Email: *

I/We confirm and agree that should any changes occur in the information contained herein I/We will inform Glenn D. Godfrey & Company LLP:

Signature of Beneficial Owner