SECRETARY OF STATE STATE OF MISSOURI

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1 JAMES C. KIRKPATRICK STATE INFORMATION CENTER (573) JASON KANDER SECRETARY OF STATE STATE OF MISSOURI CORPORATIONS (573) INSTRUCTIONS FOR APPLICATION FOR CERTIFICATE OF AUTHORITY TO DO BUSINESS IN MISSOURI FOR A COOPERATIVE ASSOCIATION A foreign cooperative association may not transact business in Missouri until it obtains a certificate of authority. Before applying for a certificate to do business in Missouri, you may wish to review Section RSMo, available online at Enclosed are forms to be used to apply for a certificate of authority. In completing the form, the following will assist you: 1. The application must be accompanied by a current (dated within 60 days) Certificate of Good Standing/Existence from the parent state. This must be an original with original seals and signatures. This certificate can be obtained from the parent state s Secretary of State or authority which issues corporate charters; normally a fee is charged by the parent state for issuing this certificate. 2. The filing fee for a certificate of authority is $105. (Checks should be made payable to Director of Revenue.) 3. By law, the cooperative must list a registered agent and the agent s address in Missouri. The registered agent may be an individual or a corporation registered in Missouri. A cooperative association may not serve as its own registered agent. 4. The necessary documents should be sent to Secretary of State, Corporations Division, PO Box 778, Jefferson City, MO For express mailings which require a street address, use 600 West Main,. If you have any questions, please contact us toll-free at (866) Best Regards, Jason Kander Secretary of State James C. Kirkpatrick State Information Center 600 W. Main Street Jefferson City Administrative Rules Business Services Elections Publications Securities State Archives State Library Wolfner Library CA Ltr. 6A 08/11

2 E PLURIBUS UNUM SALUS UNITED WE STAND P O P U L I DIVIDED WE FALL S U P R E M A M D C C C X X LEX ESTO State of Missouri Jason Kander, Secretary of State Corporations Division PO Box 778 / 600 W. Main St., Rm. 322 Jefferson City, MO Application for Certificate of Authority For a Foreign Cooperative Association (Submit with filing fee of $105.00) 1. The association name is and it is organized and existing under the laws of 2. The name it will use in Missouri is (The name shall contain the designation Cooperative Association, Co-op, Association, or C.A. ) 3. The date of its association was, and the period of its duration is month/day/year 4. The address of its principal place of business is Address City/State/Zip 5. The name and physical address of its registered agent and office in the State of Missouri is Name Address City/State/Zip The Secretary of State is appointed as the agent of the foreign cooperative association for service of process if the association fails to maintain a registered agent in Missouri or if the agent cannot be found or served in the exercise of due diligence. 6. The cooperative association s purpose complies with Section RSMo. In Affirmation thereof, the facts stated above are true and correct: (The undersigned understands that false statements made in this filing are subject to the penalties provided under Section , RSMo) Authorized Person Printed Name Title Date Note: A current (not more than 60 days old) original certificate of good standing or certificate of existence must be submitted with this application. This may be obtained from the Secretary of State or other authority that issues corporate charters in the state of domicile. Name and address to return filed document: Name: Address: City, State, and Zip Code: CA 42 (08/2011)

3 Registered Agents A registered agent may either be an individual who is a resident of Missouri or it may be a corporation authorized to transact business in Missouri. The registered agent s business office address must be a physical address located in Missouri. As required by law, the SOS office sends notices, reminders, and correspondence to the registered agent at the registered office address. The registered agent is designated by law to receive service of process and legal notices on behalf of the business entity. A post office box, UPS mailbox, or other rented mailbox is NOT allowed as a registered office address. The registered agent must be physically located at the registered office address. Anyone meeting the above criteria may serve as a registered agent. The following represents a listing of the service companies that, as a part of their business, offer to act as a registered agent for a new business formation. If you would like to use their registered agent services, please contact the company in advance of completing a limited liability company filing. These companies charge a fee to use their services. Registered Agents/Service Companies $49 REGISTERED AGENT SERVICES, INC. Todd A. Campbell, CPA, Attorney 5740 Osage Beach Parkway, Ste Osage Beach, MO Telephone: (573) / FAX: (573) michelle@campbelltaxlaw.com 0 MISSOURI AGENTS, INC. 200 NE Missouri Rd., Ste. 298 Lee s Summit, MO Telephone: (816) registeredagentservices@missouriregisteredagent.com Website: AGENTS FOR BUSINESS, INC Burchard Dr. St. Louis Toll free: (877) Telephone: (314) / FAX: (314) Info@007AgentsForBusiness.com 417 AGENTS, INC. Joseph J. Piatchek, Attorney 1200 E. Woodhurst Dr., Ste. T-200 Springfield, MO Telephone: (417) / FAX: (417) piatcheklaw@gmail.com Website: AAA AGENT SERVICES, INC. Telephone: (573) / FAX: (573) jcfiling@embarqmail.com ACCOUNTAX, INC Gravois Rd. St. Louis, MO Telephone: (314) / FAX: (314) greg@accountax-stl.com Website: AGENT SERVICES, INC. 106 E. Main St., PO Box 203 Lincoln, MO Toll free: (800) / FAX: (660) info@paperworkplace.com ALETA GRIMES MITCHELL 1343 Hoffman Dr. Telephone: (314) aletagrimesmitchell@gmail.com BARBARA D. GIER Gier Ln. Russellville, MO Telephone: (573) / FAX: (573) gier@socket.net BUSINESS FILINGS INTERNATIONAL, INC. 120 S. Central Ave., Ste. 400 Toll free: (800) CORPORATE CREATIONS NETWORK, INC Craig Rd. #260 St. Louis, MO Toll free: (800) Telephone: (314) Website: CORPORATE FILING SOLUTIONS, INC E. Osage Ridge Ln. Columbia, MO Telephone: (888) / FAX: (888) customerservice@filingsmadeeasy.com Website: CS AGENT SERVICES, INC Clayton Rd. Ladue, MO Telephone: (314) / FAX: (314)

4 CSC-LAWYERS INCORPORATING SERVICE CO. 221 Bolivar St. Toll free: (800) Website: CSGS REGISTERED AGENT, INC Forsyth, 12th Fl. St. Louis, MO Telephone: (314) / FAX: (314) cavicchia@capessokol.com CT CORPORATION SYSTEM 120 S. Central Ave. Telephone: (314) DANIEL R. JONES, ATTORNEY AT LAW, P.C S Willow Ave. Independence, MO Telephone: (816) / FAX: (816) Dan@dlawkc.com Website: DEAN R. SPECKER, CPA, EA Central Financial Services 501 B E. Young Ave. Warrensburg, MO Telephone: (660) / FAX: (660) Cell: (816) ERESIDENTAGENT, INC. Telephone: (310) FAX: (310) eteam@eminutes.com Website: GREEN LAW FIRM, PC 300B E. High St. Telephone: (573) / FAX: (573) HEATHER L. JENKINS, C.P.A. 106 Sherman Way, Ste. 2 Nixa, MO Telephone: (417) FAX: (417) heather@jenkinscpa.com Website: HUBCO REGISTERED AGENT SERVICES, INC. Telephone: (800) FAX: (800) orders1@hubcol.com Website: GLOBAL ENTERPRISE SERVICES, INC. 703 S. Main St., Ste. A Chaffee, MO Telephone: (573) / FAX: (573) INCORP SERVICES, INC S. Ingram Mill Rd., Ste. A100 Springfield, MO Telephone: (702) / FAX: (702) Website: INCORPORATING SERVICES, LTD Gier Ln. Russellville, MO Contact: Wanda Blankenship Toll free: (800) orders@incserv.com Website: JEFF CITY FILING, INC. Telephone: (573) / FAX: (573) jeffcityfiling@embarqmail.com KRIS BOEVINGLOH Boevingloh & Pliakos Attorneys at Law 225 S. Meramec Ave., Ste. 301 Toll free: (800) Telephone: (314) / FAX: (314) kris@boevingloh.com Website: LISA C. WRIGHT, CPA 5860 E. Osage Ridge Ln. Columbia, MO Telephone: (573) / FAX: (573) lcw@lisacwrightcpa.com Website: LYNN RICCI Ricci - Law - Group 1200 S. Big Bend Blvd. St. Louis, MO Telephone: (314) / FAX: (314) lynn@ricci-law.com Website: MAYRA FLESNER 820 S. Main St., Ste. 200 St. Charles, MO Telephone: (636) FAX: (636) mayra@flesnerlaw.com Website:

5 MBC BUSINESS SERVICES, INC. 460 Nichols Rd., Ste. 300 Kansas City, MO Telephone: (816) / FAX: (913) mbcservices@gmail.com Website: MISSOURI BUSINESS SERVICES, INC Des Peres Rd., Ste. 150 St. Louis, MO Toll free: (877) Telephone: (314) / FAX: (314) customerservice@mobusinesslawcenter.com Website: MISSOURI CORPORATE SOLUTIONS, INC Corona Rd., Ste. 203 Columbia, MO Telephone: (573) / FAX: missouricorporate@gmail.com NATIONAL CORPORATE RESEARCH, LTD. Toll free: (888) / FAX: (217) info@nationalcorp.com NATIONAL REGISTERED AGENTS, INC. 120 S. Central Ave., Ste. 400 Telephone: (800) info@registeredagent.com Website: NEWORLD, INC Osage St. St. Louis, MO Telephone: (314) Website: freeagent@neworld-corporate-friend.com NICHOLAS A. PARINO JR. 398 N. Clayview Dr. Liberty, MO Telephone: (866) or (816) FAX: (888) trustee@sovereignholdingsgroup.com NORTHWEST REGISTERED AGENT SERVICE, INC. 200 NE Missouri Rd. Lee s Summit Telephone: (509) Sales@northwestregisteredagent.com Website: OPTIMAL AGENT SERVICES, INC. 36 Four Seasons, Ste. 250 Chesterfield, MO Telephone: (314) PACIFIC REGISTERED AGENTS, INC Chesterfield Airport Rd., Ste. 200 Chesterfield, MO Toll free: (800) cfmcfm@earthlink.net PARACORP INCORPORATED 210 E. High St Toll free: (800) paracorp@parasec.com Website: PERRYMAN AND ASSOCIATES, INC E. Division St., Ste. A Springfield, MO Telephone: (866) steve@perrymancpa.com P W P, INC. That PAPER-WORK PLACE 106 E. Main St., PO Box 308 Lincoln, MO Toll free: (800) Website: Website: info@paperworkplace.com RAYMOND LAMPERT 2847 S. Ingram Mill Rd., Ste. A-100 Springfield, MO Telephone: (417) / FAX: (417) lampert343@hotmail.com REBMAN, LINHARES & BEACHEM A PROFESSIONAL CORPORATION 8000 Maryland Ave., Ste St. Louis Telephone: (314) / FAX: (314) Website: REGISTERED AGENTS, INC. 200 NE Missouri Rd., Ste. 298 Lee s Summit Telephone: (509) Sales@northwestregisteredagent.com Website: REGISTERED AGENT SOLUTIONS, INC A Emerald Ln. Jefferson City, MO Toll free: (888) / FAX: (888) agent@rasi.com Website: RICA GLOBAL INNOVATIONS CORPORATION 8055 Aline Ave. St. Louis, MO Contact: Hal Ngoy Telephone: (314) , ext / FAX: (888) hal.ngoy@ricaglobalinnovations.com Website:

6 THOMAS APPLEWHITE 405 Washington Ave. St. Louis, MO Telephone: (314) , ext FAX: (888) TODD A. CAMPBELL Campbell Law 5740 Osage Beach Parkway, Ste Osage Beach, MO Telephone: (573) / FAX: (573) michelle@campbelltaxlaw.com UNITED CORPORATE SERVICES, INC. Elm Court Plaza 1739 E. Elm St., Ste. 101

SECRETARY OF STATE STATE OF MISSOURI INSTRUCTIONS FOR APPLICATION FOR CERTIFICATE OF AUTHORITY TO DO BUSINESS IN MISSOURI

JAMES C. KIRKPATRICK STATE INFORMATION CENTER (573) 751-4936 JASON KANDER SECRETARY OF STATE STATE OF MISSOURI CORPORATIONS (573) 751-4153 INSTRUCTIONS FOR APPLICATION FOR CERTIFICATE OF AUTHORITY TO DO