Nonprofit Corporation

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Name

First Last

Address

Street Address City State ZIP Code

Email

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Check only one:

Domestic Nonprofit Corporation (§ 5306)
Nonprofit Cooperative Corporation (§ 7102)

The name of the corporation is*

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

The corporation is incorporated under the Nonprofit Corporation Law of 1988 for the following purpose or purposes

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:

For unincorporated association incorporating as a nonprofit corporation only. Check if applicable:

The incorporators constitute a majority of the members of the committee authorized to incorporate such association by the requisite vote required by the organic law of the association for the amendment of such organic law.

For Nonprofit Corporation Only: Check One:

The corporation shall have no members
The corporation shall have members

For Nonprofit Cooperative Corporation Only. Check and complete one:

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 among its members is:

Common bond of membership among its shareholders is:

The name(s) and address(es) of each incorporator(s) is (are) (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 effective date, if any, is:

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Application Fee

Price:

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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.

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