I hereby certify that I am authorized to submit this annual report and that the information is current as of today. I further understand that a typed version of my name is being accepted as my original signature.
hereby requests and consents to receive electronic notifications and correspondence from the Secretary of State at the following designated email address:
I, President of said corporation, certify that all of the shareholders, not less than one half of the directors, and all officers other than secretary and treasurer of the professional service corporation are duly qualified as provided in KRS Chapter 274 and a copy of this annual report will be filed with the regulating board that licenses the shareholders described in this certificate.
I further understand that a typed version of my name is being accepted as my original signature.
President's signature:
Please retype the Registered Agent name exactly as it is listed above, unless you are an individual signing for a company and acknowledgement (2) above is checked.