Professional Corporation

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Name of Corporation

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

Registered Agent for Service of Process

Commercial Registered Agent
Noncommercial Registered Agent
Office or Position with Entity

Commercial Registered Agent

Noncommercial Registered Agent or Office/Position with Entity

Name

First Last

Street Address

Street Address Address Line 2 City State ZIP Code

Is your mailing address different?

Yes
No

Mailing Address

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

Authorized Stock:

Number of shares with par value:

Par value per share: $

Number of shares without par value:

Share Total ($)

Names and Addresses of the Board of Directors/ Trustees:

Name

First Last

Street Address

Street Address Address Line 2 City State ZIP Code

Name

First Last

Street Address

Street Address Address Line 2 City State ZIP Code

Name

First Last

Street Address

Street Address Address Line 2 City State ZIP Code

Purpose

The purpose of the corporation shall be:

Benefit Corporation

Is this a benefit corporation?

Yes
No

Name and Address of Incorporator

Name

First Last

Address

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

Name of Corporation

Entity Number

For the filing period (of)

For the filing period (to)

Check if applicable

Return one file stamped copy

Choose one

Pursuant to NRS Chapter 76, this entity is exempt from the business license fee
This corporation is a publicly traded corporation.
This publicly traded corporation is not required to have a Central Index Key number

Exemption Code

001 - Governmental Entity
006 - NRS 680B.020 Insurance Co.

The Central Index Key number is

Name of President

First Last

Address

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

Name of Secretary

First Last

Address

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

Name of Treasurer

First Last

Address

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

Name of Director

First Last

Address

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

Registered Agent Acceptance

Name of Represented Business Entity

Name of Appointed Registered Agent OR Represented Entity Serving as Own Agent*

First Last

Complete only one

commercial registered agent listed with the Nevada Secretary of State,
noncommercial registered agent with the following address for service of process:
represented entity accepting own service of process at the following address:

Title of Office or Position of Person in Represented Entity

Street Address

Street Address Address Line 2 City State ZIP Code

Is the mailing address different?

Yes
No

Mailing Address

Street Address Address Line 2 City State ZIP Code

I accepted the appointment as registered agent for the above named business entity on

Customer Order Instructions

Name of Entity

Return to:

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

Contact Name

First Last

Phone

Return Delivery

Email to:
Fax to:
Hold for Pick Up
Mail to Address Above
FedEx: Acct #
Other

Email to:

Fax to:

FedEx: Acct #

Other

Order Description

Application Fee

Price:

Application Fee

Price:

Application Fee

Price:

Application Fee

Price:

Hidden

Over 1,000,000 Price Factor

Application Fee

Price: $825.00

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