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Application For Certificate Of Registration And Articles Of Continuance 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
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. 17-16-1710 of the Wyoming Business Corporation Act, the undersigned hereby submits
the following Articles of Continuance:
1.
2.
3.
The name of the corporation is: _______________________________________________________
It is incorporated under the laws of: ____________________________________________________
(a) The date of its incorporation is: ____________________________________________________
(b) The period of its duration is: _______________________________________________________
4.
The address of its principal office of the corporation is:
______________________________________________________________________________
______________________________________________________________________________
5.
The mailing address where correspondence and annual reports can be sent:
______________________________________________________________________________
______________________________________________________________________________
6.
The physical address of its proposed 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 a 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: _______________________________________________________________
______________________________________________________________________________
8.
The names and respective addresses of its officers and directors are:
Office
Name
Address
President ________________________________________________________________________
Vice President ____________________________________________________________________
Secretary _______________________________________________________________________
Treasurer _______________________________________________________________________
Director _________________________________________________________________________
Director _________________________________________________________________________
Director _________________________________________________________________________
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9.
The aggregate number of shares or other ownership units which it has the authority to issue,
itemized by classes, par value of shares, shares without par value and series, if any, within
a class is:
Number of Shares
_______________
10.
Series
__________
Par Value per Share
___________________
The aggregate number of issued shares or other ownership units itemized by classes, par
value of shares, shares without par value and series, if any, within a class is:
Number of Shares
_______________
11.
Class
_____________
Class
_____________
Series
__________
Par Value per Share
___________________
The corporation accepts the Constitution of this state in compliance with the requirements
of Article 10, Section 5 of the Wyoming Constitution.
Date: ____________________
Signed: __________________________________________
Title: ____________________________________________
State of __________________
County of ________________
I, ________________________________________________, Notary Public, do hereby certify that
on this ____________ day of ______________________________, _________, personally appeared be
fore 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 are true.
In witness whereof, I have hereunto set my hand and seal this _______________________ day of
______________________________________, __________.
(Notarial Seal)
_______________________________________________
Notary Public
My commission expires: _____________________________
aofconti - Revised: 9/2003
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Filing Fee: $100.00
Instructions:
1.
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 on behalf of the corporation.
2.
The application shall be accompanied by one (1) exact or photo copy.
3.
The following documents must accompany the application:
a.
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 officer of the state or nation of incorporation.
c.
A document from an official of the foreign jurisdiction indicating that the company
will be dissolved after it continues to Wyoming.
d.
A copy of the corporate resolution authorizing continuance of the corporation in
Wyoming.
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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