Renewal of registration of corporate name. Application for Renewal of Registration of Corporate Name of _________ To the Secretary of State of the State of _________: Pursuant to the provisions of section _________ of the _________ Business Corporation Act, the undersigned corporation applies for a renewal of the registration of its corporate name to and including [date], and submits the following statement: First. The name of the corporation is _________. Second. It is incorporated under the laws of _________. Third. The date of its incorporation is _________. Fourth. It is carrying on or doing business. Fifth. The business in which it is engaged is _________. Sixth. This application is accompanied by (a) a certificate setting forth that the corporation is in good standing under the laws of _________ where it is incorporated, executed by the official having custody of the records pertaining to corporations in that _________; and (b) a registration fee of $_____ as required by the section _________. Dated _________. _________ By _________ Its _________ State of _________ Office of the Secretary of State Certificate of Renewal of Registration of Corporate Name of _________ The undersigned, as secretary of state of the State of _________, certifies that _________, a corporation incorporated under the laws of _________, has renewed the registration of its corporate name in this office pursuant to the provisions of section _________ of the _________ Business Corporation Act, effective to and including [date]. Dated _________. _________, Secretary of State