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Application For Certificate Of Registration And Articles Of Continuance Of A Foreign Nonprofit Corporation Form. This is a Wyoming form and can be use in Corporations Secretary Of State.
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APPLICATION FOR CERTIFICATE OF REGISTRATION AND
ARTICLES OF CONTINUANCE OF A NONPROFIT CORPORATION
Wyoming Secretary of State
The Capitol Building, Room 110
200 W. 24th Street
Cheyenne, WY 82002-0020
Phone (307) 777-7311/7312
Fax (307) 777-5339
E-mail: corporations@state.wy.us
Pursuant to W.S. 17-19-1710 of the Wyoming Nonprofit Corporation Act, the undersigned hereby submits the following Articles of Continuance:
1.
The name of the corporation is: _______________________________________________________
2.
It is incorporated under the laws of: ____________________________________________________
3.
The date of its incorporation is: _______________________________________________________
and the period of its duration is: ______________________________________________________
4.
The address of its principal office in the state under the laws of which it is incorporated is:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
5.
The mailing address where correspondence and annual reports can be sent:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
6.
The physical address of its registered office in Wyoming and the name of its registered agent at that
address is: _______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(The agent must be an individual who resides in this state, a domestic corporation or not-for-profit domestic
corporation or a foreign corporation or not-for-profit foreign corporation authorized to transact business in this
state.)
7.
The purpose or purposes of the corporation which it proposes to pursue in the transaction of
business in this state: _______________________________________________________________
______________________________________________________________________________
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8.
The names and respective addresses of its officers and directors are:
Office
Name
Address
President ________________________________________________________________________
Vice-President ___________________________________________________________________
Secretary ________________________________________________________________________
Director ________________________________________________________________________
Director ________________________________________________________________________
Director ________________________________________________________________________
9.
This corporation is a
public benefit corporation,
religious corporation. (Check appropriate line.)
10.
This corporation has members __________ (Yes or No).
11.
The corporation accepts the Constitution of this state in compliance with the requirements of article 10,
section 5 of the Wyoming Constitution.
Date: __________________________
mutual benefit corporation, or
Signed: _________________________________________
Title:___________________________________________
State of _____________________
County of ___________________
I, _____________________________________, Notary Public, do hereby certify that on this _________ day of
_________________________, ____________ personally appeared before me __________________________________,
who, being by me first duly sworn, declared that he/she signed the foregoing document as
_____________________________________ of the corporation, and that the statements therein contained are true.
In witness whereof, I have hereunto set my hand and seal this _____________________ day of
__________________________, ________________.
_______________________________________________________
Notary Public
(Notarial Seal)
My commission expires: ____________________________________
************************************************************************************
Filing Fee: $25.00
npaofcon - Revised: 12/2004
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CONSENT TO APPOINTMENT
BY REGISTERED AGENT
Wyoming Secretary of State
The Capitol Building, Room 110
200 W. 24th Street
Cheyenne, WY 82002-0020
Phone (307) 777-7311/7312
Fax (307) 777-5339
E-mail: corporations@state.wy.us
I, _______________________________________________, voluntarily consent to serve as the
registered agent for ___________________________________________________________________
on the date shown below.
The registered agent certifies that he is: (check one)
(a)
An individual who resides in this state and whose business office is
identical with the registered office;
(b)
A domestic corporation or not-for-profit domestic corporation whose
business office is identical with the registered office; or
(c)
A foreign corporation or not-for-profit foreign corporation authorized to transact business in this state whose business office is identical with the registered office.
Dated this ____________________ day of _____________________________, _________.
________________________________________________
Signature of Registered Agent
Revised: 9/2003
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Instructions:
1.
In accordance with W.S. 17-19-1710, any nonprofit corporation incorporated for any
purpose under the laws of any jurisdiction other than this state, and so long as the
corporation complies with W.S. 17-19-301(b), may, if the jurisdiction will acknowledge the
corporation’s termination of domicile in the foreign jurisdiction, apply to the secretary of
state for registration under this act.
2.
The application shall be executed by the corporation by its president or other officer,
director, trustee, manager or person performing functions equivalent to those of a president
and who is authorized to execute the application on behalf of the corporation and shall be
verified by the officer signing the application.
3.
The application shall be accompanied by one (1) exact or photo copy.
4.
The following documents must accompany the application:
a.
The articles of continuance shall be accompanied by a written consent to
appointment manually signed by the registered agent.
b.
A copy of the Articles of Incorporation and all amendments currently certified (within
the last six (6) months) by the proper official of the state or nation of incorporation.
c.
The articles of continuance must be accompanied by a document from an official of
the foreign jurisdiction indicating that the company will be dissolved after continues
to Wyoming.
d.
A copy of the corporate resolution authorizing continuance of the corporation in
Wyoming.
Revised: 12/2004
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