Corporation - Corp Center

Return document by:

Mail
Email

Name

First Last

Address

Street Address City State ZIP Code

Email

Check if applicable

I qualify for a veteran/reservist-owned small business fee exemption (see instructions)

Check only one:

Business-stock (§ 1306)
Business-nonstock (§ 2102)
Business-statutory close (§ 2303)
Management (§ 2703)
Professional (§ 2903)
Insurance (§ 3101)
Benefit (§ 3303)
Cooperative (§ 7102)

The name of the 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. Designator required, i.e., “corporation,” “incorporated,” “limited,” “company,” or any abbreviation thereof. “Professional corporation” or “P.C.” permitted for professional corporations.

1st Choice*

2nd Choice

3rd Choice

Complete part (a) or (b) – not both:

(a) The address of this corporation’s proposed registered office in this Commonwealth is: (post office box alone is not acceptable)

Street Address County City State ZIP Code

(b) The name of this corporation’s commercial registered office provider

(b) County

Check and complete one:

The corporation is organized on a nonstock basis.
The corporation is organized on a stock share basis and the aggregate number of shares authorized is:

Aggregate number of shares:

The name and address, including number and street, if any, of each incorporator (all incorporators must sign below):

Name

First Last

Address

Street Address City State ZIP Code

Name

First Last

Address

Street Address City State ZIP Code

Name

First Last

Address

Street Address City State ZIP Code

The specified future effective date, if any:

For Cooperative Corporation Only.

The corporation is a cooperative corporation and the common bond of membership among its members is:
The corporation is a cooperative corporation and the common bond of membership among its shareholders is:

Common bond of membership:

Common bond of membership among shareholders:

BENEFITS CORPORATIONS ONLY: This corporation shall have the purpose of creating the enumerated specific public benefit(s):

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

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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