Oregon Professional Corporation Home » Oregon » Corporations » Professional Corporation Contact InformationName First Last Email Enter Email Confirm Email PhoneCheck one BUSINESS CORPORATION PROFESSIONAL CORPORATION REGISTRY NUMBER: 1. 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.The name must contain the word "Corporation", "Company", "Incorporated", or "Limited" or an abbreviation of one of such words. For a PROFESSIONAL CORPORATION, the name must contain the words "Professional Corporation", or abbreviations thereof, i.e., "P.C.", or Prof. Corp.Name choice (2) Name choice (3) 2. PRINCIPAL OFFICE: (Must be a physical street address) Street Address City State / Province / Region ZIP / Postal Code 3. REGISTERED AGENT: (Individual or entity that will accept legal service for this business) 4. REGISTERED AGENT'S PUBLICLY AVAILABLE ADDRESS: (Must be an Oregon Street Address, which is identical to the registered agent's office.) Street Address City State / Province / Region ZIP / Postal Code 5. ADDRESS WHERE THE DIVISION MAY MAIL NOTICES: Street Address City State / Province / Region ZIP / Postal Code 6. NUMBER OF SHARES: (At least one share must be listed.) 7. IF RENDERING A LICENSED PROFESSIONAL SERVICE OR SERVICES, DESCRIBE THE SERVICE(S) BEING RENDERED: (PROFESSIONAL CORPORATION ONLY) ORS 58.015(5)(m)8. OPTIONAL PROVISIONS: BENEFIT COMPANY INDEMNIFICATION WHO IS FORMING THIS BUSINESS? (INCORPORATORS)Name and Address OWNERS: (MEMBERS) (Names and Addresses)Name and Address MANAGERS: (MANAGERS) (Names and Addresses)Name and Address INDIVIDUAL WITH DIRECT KNOWLEDGE (Name and Address)Name and Address List the name and address of at least one individual who is a member or manager of the LLC or an authorized representative with direct knowledge of the operations and business activities of the LLC.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 webformSignatureCAPACITY 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 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 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.By clicking submit you agree to these Terms and Conditions and the above authorization of payment.