Application for Motor Common Carrier of Property

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1 Pennsylvania Public Utility Commission PO Box 3265 Harrisburg, PA (717) RECEIVED APR 2 $ 20W Application for Motor Common Carrier of Property Please complete all parts of the following application. For questions, please call the Commission at (717) Legal Name of Applicant (Individual, Partnership, LP, LLP, Corporation, or LLC) 2. Trade Name (if using a fictitious trade name, it must be registered with the Dept. of State) Fictitious name and Registration number (if applicable) Physical Address (do not use PO Box) 32(A Lor.touJGnna Qxje. Street Address City, ;ity, State and Zip ^ Code Telephone Number County 4. Mailing Address (if different from Physical Address) Street Address City, State and Zip Code 5. Attorney (if applicable) Attorney's Name & Telephone Number for this Filing Attorney's Address Revised 9/11-6-

2 6. Does afidlicant currently hold or has ever held PA PUC authority? Yes (Noi (circle one) If yes, PUC NO. A- 7. What type of commodity do you intend to transport? A^Vn "TrgnSpOrV 8. Are you one of the following? If yes, check below. t ] Individual [ ] Partnership g. Are you a business entity registered with the PA Department of State? If YES, please check below the type of business that applies to this Application and provide the Entity ID Number given to you by the PA Department of State; [ ] Limited Partnership [ ] Limited Liability Partnership [ ] Limited Liability Company M Corporation - For Profit Mi~V XC^^ [ ] Corporation - Nonprofit [ ] Fictitious Name (if applicable) If NO, contact the PA Department of State and apply according to how you will do business in PA: PA Corporations (Profit or - File for Articles of Incorporation Non-Profit) Foreign Corporations - File for a Certificate of Authority Revised 9/11-7-

3 PA Limited Partnerships, Limited Liability Partnerships, Limited Liability Companies Fictitious Name Registration File for an Application of Registration File only if Trade Name will be different than the business name you register with the Department of State 10. Attachment Checklist Individual: Partnership: Limited Partnership: Limited Liability Partnership: Limited Liability Company: Corporation - For Profit: Corporation - Non-Profit: List of names and addresses of ALL Partners Corporation Bureau Entity Number as entered above in #9 List of names and addresses of ALL Partners Corporation Bureau Entity Number as entered above in #9 List of names and addresses of ALL Partners Corporation Bureau Entity Number as entered above in #9 List of names and addresses of ALL Members and Title of each Member (even if only one member) vf' Corporation Bureau Entity Number as entered above in #9 yf' vf List of ALL Corporate Officers and Titles, name of each Shareholder and distribution of shares ] ] Corporation Bureau Entity Number as entered above in #9 ] ] List of ALL Corporate Officers and Titles and those serving on Board of Directors ] Revised 9/11

4 11. Certification Applicant certifies that it is not now engaged in intrastate transportation of property for compensation between points in Pennsylvania without Pennsylvania Public Utility Commission authorization and will not engage in any transportation not previously authorized by the Pennsylvania Public Utility Commission unless and until such authorization is obtained. Applicant further certifies that it understands the requirements ofthe Pennsylvania Public Utility Commission, especially as they relate to safety and insurance and that it may be subject to civil penalties, suspension or cancellation of the Certificate for failure to comply with Commission requirements. Applicant further certifies that it understands that it is subject to an annual assessment based upon its reported gross Pennsylvania intrastate revenues; said assessment to help defray expenses incurred in regulating Motor Common Carriers of Property; and acknowledges that failure to report revenue and pay its annual assessment may result in civil penalties, suspension or cancellation ofthe Certificate. You must sign the following Verification of Application. Verification of Application The verification ofthe application must be completed by the applicant appearing on Line 1 of the application by the named individual, all partners (if a partnership, LP, or LLP), a member (if LLC), or by any officer (if a corporation). l/we hereby state that the statements made in this application are true and correct to the best of my/our knowledge and belief. The undersigned understands that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 Relating to Unsworn Falsification to Authorities. (Signature) (Date) D Revised 9/11-9-

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6 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS 401 NORTH STREET, ROOM 206 P.O. BOX 8722 HARRISBURG, PA BAM'S Hauling, Inc. THE BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS IS HAPPY TO SEND YOU YOUR FILED DOCUMENT. THE BUREAU IS HERE TO SERVE YOU AND WANTS TO THANK YOU FOR DOING BUSINESS IN PENNSYLVANIA. IF YOU HAVE ANY QUESTIONS PERTAINING TO THE BUREAU, PLEASE VISIT OUR WEB SITE LOCATED AT OR PLEASE CALL OUR MAIN INFORMATION TELEPHONE NUMBER (717) FOR ADDITIONAL INFORMATION REGARDING BUSINESS AND / OR UCC FILINGS, PLEASE VISIT OUR ONLINE "SEARCHABLE DATABASE" LOCATED ON OUR WEB SITE. ENTITY NUMBER: Sobrinski, Bambi 226 Lackawanna Ave., Pittston, PA 18641

7 Enlity #: Date Filed: 03/06/2013 Carol Aichele Secretary of the Commonwealth PENNSYLVANIA DEPARTMENT OF STATE s. BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS Articles of Incorporation-For Profit (ISPa-CS.) XXBusiness-stock ( 1306) Management ( 2703) ^Business-nonstock ( 2102) Professional ( 2903) Business-statutory close ( 2303) "Cooperative ( 7102) Jnsurance ( 3101) Benefit ( 3303) Nunc Bambi Sobrinski Address 226 Lackawanna Ave., Pittston, PA City State Zip Code Document will be returned to the name and address you enter to the left Fee: $125 lllllljl Jn compliance with the requirements of the applicable provisions (relating to corporations and unincorporated associations), the undersigned, desiring to Incorporate a corporation for profit, hereby states that: 1. The name of the coiporation (corporate designator required, i.e., "corporation"," incorporated", "limited' "company" or any abbreviation "Professional corporation" or "P.C"): BAM'S Hauling, Inc. 2. The (a) address of this corporation's current registered office in this Commonwealth (past office box, alone, is not acceptable) or (b) name of its commercial registered office provider and the county of venue is: (a) Number and Street City State Zip County 226 Lackawanna Ave., Pittston, PA Luzerne County (b) Name of Commercial Registered Office Provider County do: 3. The corporation is incorporated under the provisions ofthe Business Corporation Law of Check and compiete one; The corporation is organized on a nonstock basis. ^The corporation is organized on a stock share basis and the aggregate number of shares authorized Is^ QQ 2mm-s PHI,: p A DEPT OF STATE

8 DSCB: /2102/2303/2702/2903/3101/3303/ The name and address, including number and street, if any, of each incorporator (all incorporators must sign below): Name Bambi Sobrinski Address 226 Lackawanna Ave., Pittston PA 6. The specified effective date, if my: incorporation " ) nth/day/year hour, ifany mot 7. Additional provisions of the articles, ifany, attach an by 11 sheet. 8. Statutory close corporation only: Neither the corporation nor any shareholder shall make an offering ofany of Its shares of any class that would constitute a "public offering" within the meaning ofthe Securities Act of 1933 (15 U.S.C. 77a et seq.) 9. Cooperative corporations only: Complete and strike out inapplicable term: The common bond of membership among its members/shareholders is: 10. Benefit corporations only: This corporation shall have the purpose of creating general public benefit. Strike out if inapplicable: This corporation shall have the purpose of creating the enumerated specific public benefit(s): IN TESTIMONY WHEREOF, the incon>orator(s) has/have signed these Articles of Incorporation this ^ day of Xu nv^n X O ^ Signature Signature

PRIORITY MAIL ESS FIRMLY PRIORI Uli! lllll 9505,063980 r^~~~' MAIL =5 POSTAL SERVICE USPS TRACKING NUMBER 3^6.,2 Q 9 PLEASE PRESS mm U 5 pgctone PAID PITTSTON.PA 18610 APR 2R.

9 PRIORITY MAIL ESS FIRMLY PRIORI Uli! lllll 9505, r^~~~' MAIL =5 POSTAL SERVICE USPS TRACKING NUMBER 3^6.,2 Q 9 PLEASE PRESS mm U 5 pgctone PAID PITTSTON.PA APR 2R.'13 AMOUNT ailing Envelope com STPIC7JONS APPLY: squired. Consult the nual(imm) atpe.usps.com ate for details. UNITED STATES POSTAL SERVICE Quponjt pat 8*04 ( Label 228, January 2008 po. Sox 3aor 3 Please Recycle Tfi/s packaging is the property of the U.sJ Service and is provided solely for use ir sending Priority Mail shipments. Misuse may be a violation of federal law. packaging is not for resale. EP14F-P-I Postal Service; June 2012; All rights rese EP14F-P-PP June 2012 U.;

Instruction to be followed in Preparing and Filing the Application for Motor Common or Contract Carrier of Persons

PUC 178 (revised 4/09): Motor Common or Contract Carrier of Persons. Instruction to be followed in Preparing and Filing the Application for Motor Common or Contract Carrier of Persons You must be at least