Public Benefit Corporation

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

The undersigned Incorporator hereby certifies as follows:

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. The name must include one of the following words: public benefit corporation, association, company, corporation, club, foundation, fund, incorporated, institute, society, union, syndicate, limited or one of the abbreviations thereof.

1st Choice*

2nd Choice

3rd Choice

2. The Registered Office of the limited liability company in the State of Delaware is located at

Street Address City State / Province / Region ZIP / Postal Code

County

The name of the Registered Agent at such address upon whom process against this corporation may be served is

The specific public benefit purpose of the corporation is to

The total amount of stock this corporation is authorized to issue is ______________________shares (number of authorized shares)

with a par value of$___________________ per share.

The name and mailing address of the incorporator are as follows:

Name

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Print or Type Name

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.

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