Non-Profit Corporations

Name*

First Last

Email*

Phone*

Name of Corporation

Please provide 3 choices for the name, in order of preference, so in the event your preferred choice is not available we can proceed with your next choice. Name of the corporation may contain the word “corporation”, “company”, “incorporated”, “limited” or an abbreviation of one of these words.

1st Choice*

2nd Choice

3rd Choice

Indicate the purpose of the corporation

Indicate the purpose of the corporation (may include “any lawful”) and, separately, the 6 digit NAICS Industry Grouping Code that most clearly describes the initial activities of the company

NAICS code

Registered agent name

The registered agent of this domestic non-profit corporation must be an individual who is a resident of Alaska, or a corporation (excluding LLC, LP and LLP) registered and in good standing. A physical address and a mailing address in the State of Alaska must be given.

First Last

Registered Agent Physical Address

Street Address City State ZIP Code

Registered Agent Mailing Address

Street Address City State ZIP Code

Number of directors constituting the initial board of directors

Provide the number of directors constituting the initial board of directors. Number of directors constituting the initial board of directors (must be at least 3)

The names and mailing addresses of the persons who are to serve as the initial directors

Name	Mailing Address

Contact Information Sheet

Name of entity as it appears on filing

To resolve questions with this filing, contact:

Name

First Last

Email

Phone

Mailing Address

Street Address City State ZIP Code

Return documents to:

Name

First Last

Company

Mailing Address

Street Address City State ZIP Code

Phone*

Application Fee

Price:

Please select an additional service that you wish to have processed

Priority Request / Rush Processing + $75

Total

$0.00

Consent

I agree

I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.

NAME:*

Type your full name to sign this secure webform

Signature*

CAPACITY OF PERSON SIGNING (E.G., AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)

Authorization*

I agree

I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected applications. I understand that my application will be processed in the order in which it is received by Corporation Center, a private fee-for-service company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Corporation Center’s no refund policy.

Credit Card

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