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Name Registration Application - Foreign Corporation Or Foreign Limited Liability Company Form. This is a Wisconsin form and can be use in Name Registration Secretary Of State.
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Tags: Name Registration Application - Foreign Corporation Or Foreign Limited Liability Company, 1-R, Wisconsin Secretary Of State, Name Registration
Sec. 180.0403,
181.0403 &
183.0104(3),Wis. Stats.
State of Wisconsin
DEPARTMENT OF FINANCIAL INSTITUTIONS
Division of Corporate & Consumer Services
NAME REGISTRATION APPLICATION - FOREIGN CORPORATION OR
FOREIGN LIMITED LIABILITY COMPANY (ANNUAL)
1. Name of the foreign entity:
2. State or Country in which formed:
3. Date of formation:
4. This application is for an (indicate (X) one)
ORIGINAL registration
OR
RENEWAL of a current registration, for the next calendar year. (NOTE: Renewal
applications are accepted from October 1 – December 31.)
5. Street address of the foreign entity’s principal office:
City
State
Country
6. The foreign entity is organized as a (indicate (X) one below)
Zip Code
7.
FILING FEE
Business corporation, with capital stock
►
$ 50.00
Nonstock, not for profit corporation
►
$ 25.00
Limited liability company
►
$ 50.00
8. Attached is a current CERTIFICATE OF STATUS with respect to the foreign entity, issued by
the state or country under whose laws it is incorporated or organized.
DFI/CORP1-R(R12-06) Use of this form is voluntary.
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9. Executed on behalf of the foreign entity by:
(Signature)
(Date)
(Printed Name)
Indicate (X) the title of the person signing - CORP►
- LLC►
Pres.
Member
Secy.
(Other Title)
Manager
__________________________________________________________________________________
INSTRUCTIONS (Ref. ss. 180.0403, 181.0403 or 183.0104(3), Wis. Stats. for document content)
Submit one original and one exact copy along with the required filing fee and current CERTIFICATE OF
STATUS to the address listed below. Make checks payable to the “Department of Financial Institutions”.
Filing fee is non-refundable. Sign the document manually or otherwise as allowed under sec. 180.0103(16),
181.0103(23) or 183.0107(1g)(c) Wis. Stats.
Mailing Address:
Department of Financial Institutions
Phone: 608-261-7577
Physical Address for Express Mail:
Department of Financial Institutions
FAX: 608-267-6813
Division of Corporate & Consumer
Division of Corporate & Consumer Services
TTY: 608-266-8818
Services
345 W. Washington Ave – 3rd Fl.
P O Box 7846
Madison WI 53707-7846
Madison WI 53703
NOTICE: This form may be used to accomplish a filing required or permitted by statute to be made
with the department. Information requested may be used for secondary purposes. This document can
be made available in alternate formats upon request to qualifying individuals with disabilities.
1, 2 & 3. Enter the name of the foreign corporation or foreign limited liability company, the state
under whose laws it is organized and the date it was organized.
4. Indicate if the application is for an original annual registration or the renewal of a current
registration for the next calendar year.
5. Provide the street address of the foreign corporation or foreign limited liability company’s principal
office.
6 & 7. Indicate whether the applicant is a foreign business corporation, foreign nonstock (including
non-profit) corporation, or foreign limited liability company. (NOTE: There is no statutory provision
for registering the name of a foreign limited partnership or foreign limited liability partnership.)
FILING FEE - Remit the filing fee appropriate to the type of organization applying. Make check
payable to Department of Financial Institutions.
DFI/CORP1-R(R12-06) Use of this form is voluntary.
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NAME REGISTRATION APPLICATION FOREIGN CORPORATION OR LIMITED LIABILITY
COMPANY NAME (ANNUAL)
┌
┐
└
┘
▲ Enter your return address within the bracket above.
Phone number during the day: (
) _______ - _________
INSTRUCTIONS (Continued)
8. Every application must be accompanied by a current CERTIFICATE OF STATUS (variously
called “certificate of existence” or “certificate of good standing”), issued by the Secretary of State (or
other official having custody of corporate records) under whose laws it is incorporated, attesting to the
existence and status of the corporation. The certificate must be issued not more than 60 days prior to
the delivery of this application.
9. The application is to be executed by an officer of the corporation or, if the applicant is a limited
liability company, by a member or manager. Print or type the name and title of the person signing
the application and enter the date the application was signed.
ORIGINAL REGISTRATION Application for an original registration are accepted anytime during
the calendar year, but all registrations expire December 31, unless terminated earlier. A registration is
terminated at the time the foreign corporation or foreign limited liability company entity obtains a
certificate of authority or registration to transact business in Wisconsin, or consents to use of the
registered name by another entity.
RENEWAL OF A CURRENT REGISTRATION A foreign corporation or foreign limited liability
company whose name is currently registered under ss. 180.0403, 181.0403 or 183.0104(3), Wis. Stats.,
may renew that registration for the following calendar year by submitting a renewal application
between October 1 and December 31. The application procedure and filing fee for a renewal is the
same as for an original application, except that it is indicated (X) as a renewal.
DFI/CORP1-R(R12-06) Use of this form is voluntary.
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www.FormsWorkflow.com