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Articles Of Domestication Form. This is a Wyoming form and can be use in Corporations Secretary Of State.
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Tags: Articles Of Domestication, Wyoming Secretary Of State, Corporations
Wyoming Secretary of State
State Capitol Building, Room 110
200 West 24th Street
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email: business@state.wy.us
For Office Use Only
Foreign Profit Corporation
Articles of Domestication
Pursuant to W.S. 17-16-1702 of the Wyoming Business Corporation Act, the undersigned hereby applies for a
Certificate of Domestication and for that purpose hereby submits Articles of Domestication.
1. Corporation name:
2. Incorporated under the laws of:
(State or country of incorporation)
3. Date of incorporation:
( mm/dd/yyyy)
4. Period of duration:
(This is referring to the length of time the corporation intends to exist and not the length of time it has been in existence. The most common
term used is “perpetual.” You may refer to your Articles of Incorporation or contact the Corporations Division in your state of incorporation
for your period of duration.)
5. Mailing address of the corporation:
6. Principal office address:
7. Name and physical address of its registered agent:
(The registered agent may be an individual resident in Wyoming, a domestic or foreign entity authorized to transact business in Wyoming,
having a business office identical with such registered office. The registered agent must have a physical address in Wyoming. A Post Office
Box or Drop Box is not acceptable. If the registered office includes a suite number, it must be included in the registered office address.)
8. Purpose or purposes of the corporation which it proposes to pursue in the transaction of business in Wyoming:
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9. Names and usual business addresses of its current officers and directors:
Office
Name
Address
President
Vice President
Secretary
Treasurer
Director
Director
Director
10. 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:
Number of Shares
Class
Series
Par Value per Share
11. 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:
Number of Shares
Class
Series
Par Value per Share
12. The corporation accepts the constitution of the state of Wyoming in compliance with the requirement of
Article 10, Section 5 of the Wyoming Constitution.
Signature: ___________________________________________
Date:
(mm/dd/yyyy)
Print Name:
Title:
Contact Person:
Daytime Phone Number:
Email:
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Checklist
Filing Fee: $100.00 Make check or money order payable to Wyoming Secretary of State.
The application shall be executed by the Chairman of the Board, President or another of its officers.
The Articles must be accompanied by a written consent to appointment executed by the registered agent.
For consistency the Secretary of State’s Office will only keep one version of the agent’s name on file.
A certified copy of its original articles of incorporation and all amendments currently certified within the last
six (6) months by the proper officer of the state or nation of formation.
The completed application must be accompanied by an original certificate of existence/good standing,
dated not more than thirty (30) days prior to filing in Wyoming, duly authenticated by the
Secretary of State or other official having custody of corporate records in the state or country of formation.
Please submit one originally signed document and one exact photocopy of the filing.
Please review form prior to submitting to the Secretary of State to ensure all areas have been
completed to avoid a delay in the processing of your documents.
Other Requirements:
An annual report will be due annually on the first day of the anniversary month of formation. If not paid
within sixty (60) days from the due date, the entity will be subject to dissolution/revocation.
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Wyoming Secretary of State
State Capitol Building, Room 110
200 West 24th Street
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email: business@state.wy.us
Consent to Appointment by Registered Agent
I,
, registered office located at
(name of registered agent)
voluntarily consent to serve
* (registered office physical address, city, state & zip)
as the registered agent for
(name of business entity)
I hereby certify that I am in compliance with the requirements of W.S. 17-28-101 through W.S. 17-28-111.
Signature:__________________________________________
Date:
(Shall be executed by the registered agent.)
Print Name:
Daytime Phone:
Title:
(mm/dd/yyyy)
Email:
Registered Agent Mailing Address
(if different than above):
*If this is a new address, complete the following:
Previous Registered Office(s):
I hereby certify that:
After the changes are made, the street address of my registered office and business office will be identical.
This change affects every entity served by me and I have notified each entity of the registered office change.
I certify that the above information is correct and I am in compliance with the requirements of W.S. 17-28-101 through
W.S. 17-28-111.
Signature: __________________________________________
Date:
(Shall be executed by the registered agent.)
(mm/dd/yyyy)
Checklist
Submit one originally signed consent to appointment and one exact photocopy.
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