Nonprofit Corporation

Contact Information

Name

First Last

Return Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

ARTICLE 1. BUSINESS NAME

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.
MUST INCLUDE A CORPORATE IDENTIFIER SUCH AS “CORP,” “INC,” “CO,” OR “LTD.”

1st Choice

2nd Choice

3rd Choice

ARTICLE 2. NONPROFIT TYPE

a. BENEFIT TYPE: REQUIRED –SELECT ONE (1) OF THE FOLLOWING

This corporation is a PUBLIC benefit corporation as defined by 11B V.S.A. § 17.05.
This corporation is a MUTUAL benefit corporation as defined by 11B V.S.A. § 17.05.

b. MEMBER ORGANIZATION STATUS: REQUIRED – SELECT ONE (1) OF THE FOLLOWING

This corporation IS a member organization.
This corporation IS NOT a member organization.

ARTICLE 3. BUSINESS PURPOSE OPTIONAL – SELECT ONE OF (1) THE FOLLOWING

This a Charitable Organization, Church or Religious Organization, or Private Foundation (AS DEFINED BY IRS CODE 501(C)(3)) formed for the purpose of charitable, religious, educational, scientific, literary, testing for public safety, fostering national or international amateur sports competition, or preventing cruelty to children or animals and will not be participating in political activity as defined in sections 501(c)(4) (FOR ACTION ORGANIZATIONS) or 527 (FOR POLITICAL ORGANIZATIONS) of the IRS Code.
This corporaThis is an Action Organization (AS DEFINED BY IRS CODE 501(C)(4))formed for one or more of the purposes that would otherwise qualify under IRS CODE 501(C)(3) exemption status, except that it MAY participating in political activity by seeking legislation germane to the organization's programs for the purpose of promoting social welfare.tion IS NOT a member organization.
This is a Political Organization (AS DEFINED BY IRS CODE 527) formed for the purpose of influencing or attempting to influence the selection, nomination, election or appointment of an individual to a federal, state, or local public office or office in a political organization.
Other: NAICS CODE (PREFERED) OR STATEMENT OF PRIMARY GOODS OR SERVICES TO BE PROVIDED UNDER THIS BUSINESS NAME

Other:

ARTICLE 4. INITIAL PRINCIPAL OFFICE REQUIRED (mailing address)

b. Mailing Address: City/Town: State: ZIP:

ARTICLE 4. INITIAL PRINCIPAL OFFICE REQUIRED

a. Physical Address: NO PO BOX City/Town: State: ZIP:

Initial Registered Agent and Office

Registered Agent Name

First Last

Registered Agent Address

Street Address Address Line 2 City State ZIP Code

E-Mail Address:

Registered Office: REQUIRED - PHYSICAL LOCATION AT WHICH ANY SERVICE OF PROCESS IS TO BE SERVED TO THE REGISTERED AGENT (LISTED ABOVE).

Street Address: NO PO BOX City/Town: State: ZIP:

Initial Directors (OPTIONAL) if provided - must provide a minimum of 3

Name of Director

First Last

Address of Director

Street Address Address Line 2 City State ZIP Code

Email

Name of Director

First Last

Address of Director

Street Address Address Line 2 City State ZIP Code

Email

Name of Director

First Last

Address of Director

Street Address Address Line 2 City State ZIP Code

Email

CHECK IF APPLICABLE:

This corporation will have more than three (3) initial directors.
IF SELECTED – MUST ATTACH A COMPLETE LIST WITH SIGNATURES OF ALL ADDITIONAL INITIAL DIRECTORS

ARTICLE 7. EFFECTIVE DATE OF THESE ARTICLES (OPTIONAL)

MAY BE POST-DATED UP TO 90 DAYS FROM DATE OF RECEIPT

ARTICLE 8. INCORPORATOR(S) REQUIRED – SELECT ONE (1) OF THE FOLLOWING

The directors listed above in Article 7 are also the incorporators
The incorporator, who is not an initial director of this Nonprofit Corporation, is as follows:

Name

First Last

Incorporator Address

Street Address Address Line 2 City State ZIP Code

*Not an initial director of this Nonprofit Corporation, is as follows:

E-Mail Address:

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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