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Certificate of Secretary or Company Officer

I,______________________________, the duly elected or designated Secretary of


________________________________ (the “Company”) does hereby certify that I maintain complete
and accurate records on behalf of the Company and do further certify that:

1. The Company is validly formed and is in good standing in the State of ____________________;
2. By proper Resolution, the Company’s Directors/Partners/Members authorized the Company to
participate in the U.S. Small Business Administration’s Payroll Protection Program (PPP) and to
borrower up to the maximum amount of its eligibility under the PPP;
3. Any of the persons identified below, acting individually, are duly authorized, in the name and on
behalf of the Company, to complete, validate, execute and deliver all information and documents
and take all other actions necessary or advisable to apply for and obtain the maximum benefits
available under the PPP, including the execution and delivery of loan applications, payroll
history, eligibility certifications, promissory notes and similar instruments, and may give
instructions on behalf of the Company in writing or by telephone, facsimile transmission,
telegram, teletype, electronic means, or otherwise, with respect to all such matters related to the
PPP, including, but not limited to instructions to open deposit accounts, or to pay, deliver or
transfer property or cash of the Company to any third party whatsoever;
4. I further certify that the following are officers of the Company are duly appointed and you shall
be entitled to rely upon their continued incumbency and empowerment to act for the Company
until you have been furnished with a duly certified notice to the contrary.

Name Title Specimen Signature

__________________ __________________ ______________________

__________________ __________________ ______________________

__________________ __________________ ______________________

IN WITNESS WHEREOF I have set my hand as Secretary (or other duly authorized officer) of
the Company this_________ day of ______________ , 2020.

_____________________________
Name:
_____________________________
Title:

This Certification is intended to be relied upon by a participating lender in the United States Small Business
Administration’s Payroll Protection Program. If not understood, proper advice should be obtained from the
Company’s legal counsel.

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