Print Form Reset Form District of Columbia Government Corporations Division Application for Certificate of Authority for Foreign Cooperative Association Form FCO-1, Version 2, July 2010. Use this form (FCO-1) to register a Foreign Cooperative Association. ENTITY TYPE Foreign Cooperative Association FILING FEE Refer to Corporate Fee Schedule posted online. Under the provisions of the District of Columbia Official Code and the Cooperative Association Act, the undersigned cooperative association hereby applies for a Certificate of Authority to transact business in the District of Columbia, and for that purpose submits the following statement: 1. Entity Name 2. Cooperative Association Designation elected in the District (Add Cooperative Association or Cooperative if this designation is not required by the state of incorporation) 3. Incorporated under the laws of which state or country 4. Date of incorporation 5. Term of Existence 6. Date you started or will start transacting business in the District Columbia 7. Address of cooperative association in state where it is formed. (If the principal address is outside the state of formation, give the RA in the state of formation.) 8. Briefly describe the proposed activity the corporation will transact in the District of Columbia. ("General purpose" is not an acceptable description) 9. List all officers and directors of cooperative association (attach list if you need more space). TITLE NAME ADDRESS 10. Attach your Certified Copy of Articles of Incorporation and any Amendments, from the State/Country of Incorporation. The attachments must have state certification dates within the last 6 months and -- if they were not originally in English -- be translated into English by a government-agency-certified translator. Good standing certificates or certificates of status or existence are not sufficient. 11. Select the corporate officer executing this form 12. Signature President Vice-President 13. Select corporate officer executing this form 14. Signature Secretary Assistant Secretary If you sign this application, you agree that you understand that anyone who makes a false statement anywhere on it can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405. Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442-4400 Please check dcra.dc.gov to view organizations required to register, to search business names, to get step-by-step guidelines to register an organization, to search registered organizations, and to download forms and documents. Just click on "Corporate Registrations." American LegalNet, Inc. www.FormsWorkFlow.com