Professional Corporation

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Return Address

Street Address Address Line 2 City State ZIP Code

1.Corporate Name

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)

2a.Business Addresses

a. Initial Street Address of Corporation - Do not enter a P.O. Box Address Line 2 City (no abbreviations) State Zip Code

2b. Mailing Address

b. Initial Mailing Address of LLC, if different than item 2a Address Line 2 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.)

3. Service of Process (Must provide either Individual OR Corporation.)
INDIVIDUAL – Complete Items 3a and 3b only. Must include agent’s full name and California street address.

3a. California Agent's First Name

(if agent is not a corporation) Middle Name Last Name Suffix

3b. Street Address

(if agent is not a corporation) - Do not enter a P.O. Box Address Line 2 City (no abbreviations) State Zip Code

CORPORATION – Complete Item 3c. Only include the name of the registered agent Corporation.

3c. California Registered Corporate Agent’s Name

(if agent is a corporation) – Do not complete Item 3a or 3b

4. Shares (Enter the number of shares the corporation is authorized to issue. Do not leave blank or enter zero (0).)

This corporation is authorized to issue only one class of shares of stock. The total number of shares which this corporation is authorized to issue is

5. Purpose Statement(Contact the California state board or agency that controls your profession to find out if your profession is authorized to be a corporation in California.

The purpose of the corporation is to engage in the profession of

and any other lawful activities (other than the banking or trust company business) not prohibited to a corporation engaging in such profession by applicable laws and regulations. This corporation is a professional corporation within the meaning of California Corporations Code section 13400 et seq.

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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Contact Information

3. Service of Process (Must provide either Individual OR Corporation.) INDIVIDUAL – Complete Items 3a and 3b only. Must include agent’s full name and California street address.

4. Shares (Enter the number of shares the corporation is authorized to issue. Do not leave blank or enter zero (0).)

3. Service of Process (Must provide either Individual OR Corporation.)
INDIVIDUAL – Complete Items 3a and 3b only. Must include agent’s full name and California street address.