Application For Certificate Of Authority Of A Foreign Corporation State Form 38784 Page 2
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1
2ARTICLE VI: Board of Directors
The names and business addresses of the Board of Directors of the Corporation are as follows:
Name
Address (Number, street, city, state and ZIP code)
In witness whereof, the undersigned being the
of said Corporation executes this
(Title: officer or Chairman of Board)
Application for Certificate of Authority, and verifies subject to penalties of perjury, that the facts contained herein are true this
day
of
, 20
.
Signature
Printed name
Page 2 of 2
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