State of Delaware

 

Limited Liability Company

 

Certificate of Formation

 

This certificate of formation is being executed for the purpose of forming

a limited liability company pursuant to the Delaware Limited Liability

Company Act, 6 Del C 18-101, et Seq.

 

FIRST:  The name of the limited liability company is

______________________________________________________________________

 

SECOND:  The address of its registered office in the State of Delaware is 113 Barksdale Professional Center in the City of Newark, County of New Castle.  Zip code, 19711.  The name of its Registered Agent at such address is Delaware Intercorp, Inc.

 

THIRD:  The members agree to be bound by the signed Limited Liability Company Agreements except as they may be contradicted by the Limited Liability Company Act of the State of Delaware.

 

IN WITNESS WHEREOF, I, _______________________________, being fully authorized to execute and file this document, for the purpose of forming a limited liability company pursuant to the Delaware Limited Liability Act, do make this Certificate of Formation, acknowledging under the penalties of perjury in the third degree, hereby declaring and certifying that this instrument is my act and deed and the facts herein are true, pursuant to 6 Del.C §18-204 and accordingly have hereunto set my hand this __________ day of __________________, 20___.

 

______________________________

Name


______________________________

Authorized Person