Nonprofit Corporation

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

*The name of the nonprofit 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.

1st Choice*

2nd Choice

3rd Choice

DBA name(s):

Email

Phone

Article Two: *The purpose for which the nonprofit is incorporated: (Please list a specific purpose for which the cor-poration is organized.)

*The corporation elects to be designated as a Benefit Corporation pursuant to 53-12-7 NMSA 1978.

Yes
No

If yes, the benefit purpose:

Article Three: *The period of duration is:

Perpetual
Specific Date or Number of Years

Specific Date or Number of Years

Article Four: (1)*The name of the registered agent is:

First and Last name

OR Registered Corporation Name and Business ID #

(2)*The New Mexico street address of the initial registered agent is: (must be a physical address)

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

(3)The New Mexico mailing address of the initial registered agent is:

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

(4) *The principal place of business of the corporation is: (must be a physical address)

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

(5) The mailing address of the corporation is: same as physical address

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

Article Five: *The names and complete addresses of the initial board of directors are: (please list at least 3 directors)

Name	Address	City	State	Zipcode

Article Six: *The name and complete address of each incorporator is: (attach a schedule if needed)

Name	Address	City	State	Zipcode

Printed Name of Incorporator

Box One - *Individual as Registered Agent

(Registered Agent’s Printed Name)

(Nonprofit’s Name)

Box Two - *Corporation as Registered Agent

(Authorized Person’s Printed Name and Title)

(Registered Agent Corporate Name)

(Nonprofit’s Name)

Document Delivery Instruction Form Please fill out in its entirety

Contact Name:

Contact Phone Number:

Attention:

Mailing Address:

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

Email

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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