Nonprofit Corporation

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

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.

1st Choice

2nd Choice

3rd Choice

2. Purpose:

3. Who/What is the name of the Registered Agent (Individual or Business Entity or Commercial Registered Agent)?:

The address must be listed if you have a non-commercial registered agent. See instructions for further details. Address of the Registered Agent:

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

4. Name, Signature and Address of Incorporator (attach additional page if there is more than 1 incorporator)

Name

Address

The nonprofit corporation will/will not have voting members

will
will not

The nonprofit corporation will/will not issue shares evidencing membership or interests in water or other property rights.

will
will not

The aggregate number of shares that the nonprofit corporation has authority to issue shall be

The shares will/will not be divided up in to classes.

will
will not

Type 1

Type 1 number of shares

Type 1 Statement

Type 2

Number of Shares

Type 2 Statement

8. Principal Address:

Name and Address of Directors

Name	Position	Address

For position, please write either "Director" or "Trustee"

Is this a female owned business?

Yes
No

Is this a minority owned business?

Yes
No

If yes, please specify:

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.

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