Nonprofit Corporation

The domestic entity name for the nonprofit corporation is

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. Must include business designation, e.g., Inc., Co., Corp.

1st Choice*

2nd Choice

3rd Choice

The principal office street address of the nonprofit corporation’s initial principal office

Street Address Address Line 2 City State ZIP Code

The principal office mailing address of the nonprofit corporation’s initial principal office

Street Address Address Line 2 City State ZIP Code

Registered Agent

Name

First Middle Last Suffix

OR

Entity

Street Address

Street Address Address Line 2 City State ZIP Code

Mailing Address

Street Address Address Line 2 City State ZIP Code

The person appointed as registered agent above has consented to being so appointed

The person appointed as registered agent above has consented to being so appointed

Incorporator

Name

First Middle Last Suffix

OR

Entity

Mailing Address

Street Address Address Line 2 City State ZIP Code

The person appointed as registered agent above has consented to being so appointed

The corporation has one or more additional incorporators and the name and mailing address of each additional incorporator are stated in an attachment.

Voting Members

The nonprofit corporation will have voting members

Provisions regarding the distribution of assets on dissolution

The delayed effective date and, if applicable, time of this document is/are

Time

:

Name of the individual causing the document to be delivered for filing

First Middle Last Suffix

Address of the individual causing the document to be delivered for filing

Street Address Address Line 2 City State ZIP Code

This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing.

This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing.

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

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

Having Trouble with your card?

My card information is not working

Check this box to move forward without your Credit Card.

By clicking submit you agree to these Terms and Conditions and the above authorization of payment.