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Case 2:12-cv-02825-JPM-tmp Document 41-1 Filed 02/21/13 Page 1 of 2 PageID 343
`Document 41-1 Filed 02/21/13 Page 1 of 2 Page|D 343)
`Case 2:12-cv-02825-JPM-tmp
`
`For Office Use Only
`
`Corporate Filings
`312 Rosa L. Parks Avenue
`6"‘ Floor, William R. Snodgrass Tower
`Nashville, TN 37243
`
`APPLICATION FOR
`CERTIFICATE OF AUTHORITY
`‘
`‘
`'
`y
`(Limited Liability Company)
`
`To the Secretary of State of the State of Tennessee:
`
`Pursuant to the provisions of §48~249-904 of the Tennessee Revised Limited Liability Company Act, the undersigned hereby
`applies for a certificate of authority to transact business in the State of Tennessee. and for that purpose sets forth:
`
`NOTE: The Secretary of State of the State of Tennessee may not issue a certificate of authority to a foreign Limited
`Liability Company If its name does not comply with the requirements of§ 48-249-106 of the Tennessee Revised Limited
`Liability Company Act. If obtaining a certificate of authority under an assumed Limited Liability Company name, an
`application must be flied pursuant to § 48-249-106(d).
`
`2. The state or country under whose law it is formed is:
`
`3. The complete street address (including zip code) of its principal executive office is:
`
`up or
`
`Stree '
`
`yltgirug gem Cousovk .170
`
`City/State
`
`semi
`
`Zip Code
`
`_
`
`4. The complete street address (including the county» and the zip code) of its registered office in Tennessee:
`\
`Us)
`l
`i \I ~-
`N
`Ix}
`530i
`Street
`-
`City/State
`Zip Code
`
`The name of its registered agent at that office is:
`
`‘I
`
`5.
`
`If the provisions of TCA §48~249-309(i) (relating ‘to foreign series LLCs) apply, thenlthe information required by that section
`should be attached as part of this document.
`
`6. The number of members at the date of filing if morethan six (6):
`
`1
`
`7.
`
`if the limited liability company commenced doi
`commencement (month, day and year)
`43-249-913(d).
`
`business in Tennessee prior to the approval of this application, the date of
`. NOTE: Additional filing fees may apply. See section
`
`NOTE: This application must be accompanied by a certificate of existence or a document of similar import (for example,
`a certificate of good standing) duly authenticated by the Secretary of State or other official having custody of
`the Limited Liability Company records in the state or country under whose law it is organized. The certificate
`shall not bear a date of more than two (2) months prior to the date the application is filed in this state.
`
`ny Q,
`
`Signature Date
`Signer‘s Cakacity
`
`_
`
`.
`
`rnited Liability C
`Name of
`~
`Signature
`(Lg n&, it &(gu\z,(
`
`Name (typed or printed)
`
`_
`
`S8423?) (Rev. 02/08}
`
`Filing Fee: $50 per member! minimum iee=S300. maximum fee=53,0D0
`
`-
`
`-
`
`RDA 2458
`
`
`
`
`
`
`
`86Z0'860i.‘zezmtrrr‘ZTOZI/90/60‘3.3.*efiJeHam649483:0A.Ie:.eJ:>eseessauuel.Actpanacea
`
`
`
`
`
`
`
`

`
`Case 2:12-cv-02825-JPM-tmp Document 41-1 Filed 02/21/13 Page 2 of 2 PageID 344
`Case 2:12—cv—O2825—JPM—tmp Document 41-1 Filed 02/21/13 Page 2 of 2 Page|D 344
`
`1
`
`"PAGE
`
`-
`
`‘Me Tirst State
`
`I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE (SF
`
`DELAWARE, DO I-1EREB.‘1.'.CERTIF‘I "B.E.
`
`'1.'EChI*EOLOGY, L."L.C." IS DULY
`
`FORMED UNDER THE LAWS OF" THE STATE 05‘ DELAWARE AND IS IN GOOD
`
`STANDING AND HAS ‘A LEGAL EXISTENCE SO FAR AS THE RECORDS»OF THIS
`
`OFFECE SHOW, AS OF THE FO1JRTH'D.1\Y OF SEPTEMBER. A.'D. 2012.
`
`AND I DO HEREBY F.IJR1‘.HER.CE~RTIFY THAT THE SAID "B.E.
`
`TECHNOLOGY,
`.R..D. 1997.
`
`.1'.».L.C.'* WAS FORMED QN THE FOURTEEbh‘fi DAY OF AUGUST:
`
`AND I DO HEREBY FURTHER
`
`THAT THE ANNUHL TA.XES.H1‘.VE
`
`BEEN PAID TO DATE.
`
`
`
`
`
`‘ztcz/90/60‘;;e5JEH51$eqeqg;dAaeqaaoasaasseuuemAqpenreoea
`
`
`
`‘
`
`83. “
`
`2755.288
`
`12o99a323
`
`ipaez
`
`1
`
`.
`
` ’ mlreyvrtuama. Smnury usmn ‘\
`
`AUTHENTICATION: 9821277
`
`DATE: d9-oa—12
`120996323
`
`389:;tEII
`
`6680'€601.

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