Professional Service Corporation

Benefit Corporation

Check if applicable

This professional business corporation is a benefit corporation

The name of the professional corporation shall be

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 corporate name must contain the word chartered, professional association. professional corporation, or the abbreviation P.A., P.C., or Chtd.

1st Choice

2nd Choice

3rd Choice

The corporation is organized for the practice of the profession(s) of

The number of shares the corporation is authorized to issue

There must be at least 1 share authorized in a general business corporation.

Name of the registered agent

A registered agent is the person designated to receive service of process upon litigation. This person must be located in Idaho at a street address.

First Last

Address of the registered agent

Street Address City State ZIP Code

Name of the incorporator

at least 1 incorporator must be provided

First Last

Address of the incorporator

Street Address City State ZIP Code

The mailing address of the corporation shall be

Street Address City State ZIP Code

Optional Articles

(director names and addresses, for example)

Other permissible provisions may be added in this area for optional articles, such as (e.g. names and addresses of the corporation’s directors

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

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