Nonprofit Corporation

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Contact Information
Name
First Last
Email*
Enter Email Confirm Email
Phone*
(1) Do you already have a UBI No.? (Check one)
- Yes
- No
If Yes, provide UBI No.
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.
1st Choice
2nd Choice
3rd Choice
Does the business have a name reserved? (Check one)
- Yes
- No
Reservation Number:
Reserved Name:
Fill
PURPOSE OF CORPORATION: ANY OTHER PROVISIONS:
PERIOD OF DURATION:
- This Corporation shall have a perpetual duration (default)
- This Corporation shall have a duration of
- This Corporation shall expire on
Durations
Expiration
MM slash DD slash YYYY
EFFECTIVE DATE: Check ONE of the following:
- Date of filing
- Specify a date
Date
MM slash DD slash YYYY
Is the Registered Agent a Commercial Registered Agent? (Check one)
- Yes
- No
If Yes, provide the name of the Commercial Registered Agent:
NON-COMMERCIAL REGISTERED AGENT Please complete ONE type of Registered Agent below and provide the name in the selected box. Then continue to provide the required street address. Mailing address is optional.
- Individual
- Business
- Office of Position
Individual
Business
Office or Position
Phone
Email
Registered Agent Street Address (required) (Must be a physical address; No PO Box or PMB)
Street Address City State ZIP Code
Registered Agent Mailing Address (optional)
Street Address City State / Province / Region ZIP / Postal Code
INITIAL BOARD OF DIRECTORS: Name and address of each initial director is required
Name Address City State Zip
DISTRIBUTION OF ASSETS:
In the event of voluntary dissolution, the net assets will be distributed as follows:
RETURN ADDRESS FOR THIS FILING: (Optional)
Attention:
Email
Address
Street Address City State ZIP Code
INCORPORATOR INFORMATION:
Name, address, and signature required. Attach additional sheets if necessary. I hereby certify, under penalty of law, that the above information is accurate and complies with the filing requirements of state law.
Name:
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Printed Name/Title
Application Fee
Price:
Please select an additional service that you wish to have processed
- Priority Request / Rush Processing + $75
Total
$350.00
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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PURPOSE OF CORPORATION:	ANY OTHER PROVISIONS:

Name	Address	City	State	Zip

In the event of voluntary dissolution, the net assets will be distributed as follows:

Contact Information

Business Name

RETURN ADDRESS FOR THIS FILING: (Optional)

INCORPORATOR INFORMATION: