Oregon Nonprofit Corporation Home » Oregon » Corporations » Nonprofit Corporation Contact InformationName First Last Email* Enter Email Confirm Email Phone*REGISTRY NUMBER: NAME OF CORPORATION: REGISTERED AGENT'S PUBLICLY AVAILABLE ADDRESS: REGISTERED AGENT'S PUBLICLY AVAILABLE ADDRESS: Street Address City State / Province / Region ZIP / Postal Code ADDRESS WHERE THE DIVISION MAY MAIL NOTICES: Street Address City State / Province / Region ZIP / Postal Code TYPE OF CORPORATION: PUBLIC BENEFIT MUTUAL BENEFIT RELIGIOUS WILL THE CORPORATION HAVE MEMBERS? Yes No DISTRIBUTION OF ASSETS UPON DISSOLUTION: OPTIONAL PROVISIONS: INDEMNIFICATION WHO IS FORMING THIS BUSINESS? (INCORPORATORS)Name and Address INITIAL PRESIDENT (Name and Address)Name and Address INITIAL SECRETARY (Name and Address)Name and Address EXECUTION/SIGNATURE OF EACH PERSON WHO IS FORMING THIS BUSINESS: (Organizer)PRINTED NAME:TITLE: I declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, fraudulently obscure, fraudulently alter or otherwise misrepresent the identity of the person or any members, managers, employees or agents of the limited liability company. This filing has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete. Making false statements in this document is against the law and may be penalized by fines, imprisonment or both.CONTACT NAME: (To resolve questions with this filing) PHONE NUMBER: (Include area code)Application Fee Price: Please select an additional service that you wish to have processed Priority Request / Rush Processing + $75 Total $0.00 NAME:* Type your full name to sign this secure webformSignature*CAPACITY OF PERSON SIGNING (E.G., AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER) Authorization* I agreeI 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.Payment Information* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Having Trouble with your card? My card information is not workingCheck this box to move forward without your Credit Card.Agree to Terms and Conditions* I agree to the terms and conditions below: