Wyoming Profit Corporation Home » Wyoming » Corporations » Profit Corporation Contact InformationName First Last Email* Enter Email Confirm Email Phone*1. Corporation 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 choice1st Choice 2nd Choice 3rd Choice 2. Incorporated under the laws of: 3. Date of incorporation: MM slash DD slash YYYY 4. Period of duration: 5. Mailing address of the corporation: Street Address City State / Province / Region ZIP / Postal Code 6. Principal office address: Street Address City State / Province / Region ZIP / Postal Code 7. Name and physical address of its registered agent:Name AddressPO Box is acceptable if listed in addition to a physical address. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 8. Purpose or purposes of the corporation which it proposes to pursue in the transaction of business in Wyoming:(How will the assets be distributed if the nonprofit corporation is dissolved?) 9. Names and usual business addresses of its current officers and directors:President Name President Address Vice President Name Vice President Address Secretary Name Secretary Address Treasurer Name Treasurer Address DirectorsNameAddress 3 Directors10. Aggregate number of shares or other ownership units which it has the authority to issue. (Itemize by classes, par value of shares, shares without par value and series, if any, within a class.) 11. Aggregate number of issued shares or other ownership units.(Itemize by classes, par value of shares, shares without par value and series, if any, within a class.) 13. Certification. (Please check the box to complete the required certification.) I consent on behalf of the business entity to accept electronic service of process at the required email address provided on the form under the circumstances specified in W.S. 17-28-104(e). Printed Name Title: Contact Person: Daytime Phone Number:Email Consent to Appointment by Registered Agent(name of registered agent) *(registered office physical address, city, state, & zip) (name of business entity) Print Name: Title: Daytime Phone:Email Registered Agent Mailing Address (if different than above):Application Fee Price: Please select an additional service that you wish to have processed Priority Request / Rush Processing + $75 Total $0.00 NAME:* Type your full name to sign this secure webformSignature*CAPACITY OF PERSON SIGNING (E.G., AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER) Authorization* I agreeI 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.Payment Information* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Having Trouble with your card? My card information is not workingCheck this box to move forward without your Credit Card.By clicking submit you agree to these Terms and Conditions and the above authorization of payment.