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Application to Incorporate A Belize LLC

hereby instruct Glenn D. Godfrey & Company LLP to form a BELIZE LLC on my/our behalf as follows:

1. Proposed Name:

Company names may be in any language as long as Roman letters are used. The test of theArticles of Organization will be in English. Each company name shall contain the words“Limited Liability Company” or the abbreviation “LLC” or “L.L.C.”.
One name per line.

2. Proposed Management:

3. A limited liability company formed under this Act continues perpetually, unless otherwiseprovided in its articles of organisation, or unless the limited liability company is dissolved andterminated in accordance with the provisions of this Act.

4.

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

*I/We declare and confirm the above information is true and correct and that the company tobe incorporated will not be used for money laundering, terrorist activities or any otherillegal activity or in a manner likely to damage the good name of Glenn D. Godfrey &Company LLP or the jurisdiction of incorporation. I/We will take independent legal advicebefore proceeding and I am/We are aware, and intend, to honour my/our legalresponsibilities in my/our jurisdiction.

Signature of Beneficial Owner