Nonprofit Corporation

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

The name of the 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. The corporate name must contain the word “corporation,” “incorporated,” or the abbreviation: “Inc,” or the word “corporation” or the abbreviation “Co.,” but if the word “corporation” or the abbreviation “CO.” is used it may not immediately proceeded by the word “and” or the abbreviation “&.” A corporation name must be distinguishable upon the records of the Office of the Secretary of State from any other name on record with the Office of the Secretary of State.

1st Choice

2nd Choice

3rd Choice

The purpose for which the corporation is organized

The name of the registered agent is

First Last

The street address of the corporation’s initial registered office in Kentucky is

In order to transact business in Kentucky, the Registered Agent shall be an individual resident of Kentucky. Street Address Only (No Post Office Box Numbers).

Street Address Address Line 2 City State ZIP Code

The mailing address of the corporation’s principal office is

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

The number of directors (minimum of three (3) required) constituting the initial board of directors is

Please enter a number greater than or equal to 3.

The names and mailing addresses of the persons who are to serve as the initial board of directors are as follows:

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

The name and street address of the incorporator is as follows:

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please indicate if the following applies to your business ownership:

Veteran Owned

Name of Incorporator

First Last

Title of Incorporator

Name of Registered Agent

First Last

Title of Registered Agent

Application Fee

Price:

Please select an additional service that you wish to have processed

Priority Request / Rush Processing + $75

Total

$308.00

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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