Nonprofit Corporation

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.

1st Choice

2nd Choice

3rd Choice

Initial Registered Agent

First Middle Last

Initial Registered Office

Street Address City State ZIP Code

Purposes(s) for which the Corporation is Organized

Directors

Number of Directors constituting the initial board of directors of the corporation

Names and Addresses of persons serving as directors until the first annual meeting of shareholders or until their suc-cessors are elected and qualify

Name	Address

Is this Corporation a Condominium Association as established under the Condominium Property Act?

Yes
No

Is this Corporation a Cooperative Housing Corporation as defined in Section 216 of the Internal Revenue Code of 1954?

Yes
No

Is this Corporation a Homeowner's Association, which administers a common-interest community as defined in subsection (c) of Section 9-102 of the code of Civil Procedure?

Yes
No

Incorporators

Name

First Last

Address

Street Address City State ZIP Code

Name

First Last

Address

Street Address City State ZIP Code

Name

First Last

Address

Street Address City State ZIP Code

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Application Fee

Price:

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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:*

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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.

Credit Card

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