Nonprofit Corporation

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The name of the corporation is
First
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 Choice (2)
Name Choice (3)
Street Address
Initial Street Address of Corporation - Do not enter a P.O. Box City (no abbreviations) State ZIP Code
Mailing Address
Initial Mailing Address of corporation, if different than above City (no abbreviations) State Zip Code

(Enter the complete business addresses. Item 2a cannot be a P.O.Box or “in care of” an individual or entity.)
Agent is*
- Individual
- Corporation
California Agent's Name
First Middle Last Suffix
Agent Address
(if agent is not a corporation) - Do not enter a P.O. Box City (no abbreviations) State Zip Code
California Registered Corporate Agent’s Name
This corporation is a nonprofit public benefit corporation and is not organized for the private gain of any person. It is organized underthe Nonprofit Public Benefit Corporation Law for:
- Public purposes
- Charitable purposes
The specific purpose of this corporation is to
Contact Information
Name*
First Last
Email*
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Phone*
Application Fee
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Total
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NAME:*

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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.
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