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Ss. 180.1506(1) & 181.1506(1), Wis. Stats.

State of Wisconsin Department of Financial Institutions Division of Corporate & Consumer Services

ADOPTION OF FICTITIOUS NAME
If, due to conditions described in ss. 180.1506 (2) or 181.1506 (2), the corporate name of a foreign corporation is not available for use in Wisconsin, the foreign corporation may obtain or maintain its certificate of authority in Wisconsin by transacting business in Wisconsin under a fictitious name. A foreign corporation may adopt a fictitious name by resolution of its Board of Directors. A copy of the resolution, certified by any officer of the foreign corporation, shall be filed as a supporting document to the corporation's application for an original or amended certificate of authority (Form 21 or Form 121). _______________________________________________________________________________________ CERTIFIED COPY OF RESOLUTION CORPORATION ADOPTING A FICTITIOUS NAME FOR USE IN THE STATE OF WISCONSIN I, the undersigned officer of
(True Corporate Name)

, (state of organization), do

a corporation organized and existing under the laws of

hereby certify that the following resolution of the Board of Directors of said corporation was duly adopted on (date): "RESOLVED, that the corporation hereby adopts the name as a fictitious name for use in the State of Wisconsin for all purposes; and be it further resolved that all activities and business of the corporation within the State of Wisconsin shall be carried out under the aforementioned fictitious name."

5. Executed on Title: ! President OR or other officer title

(Date) (Signature)

! Secretary
(Printed name)

_______________________________________________________________________________________ NOTES and INSTRUCTIONS: A fictitious name may be adopted only in circumstances where the corporation cannot, due to a name conflict, license in Wisconsin under its true corporate name. Append the certified copy of the resolution to the corresponding application (Form 21 or Form 121) and deliver both to: Department of Financial Institutions, Division of Corporate & Consumer Services, P O Box 7846, Madison WI, 53707-7846. Phone (608) 261-7577. Hearing-impaired may call 608-266-8818 for TTY. DFI/CORP/21-B(R02-10-03) 1 of 1