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BRA-25 NONPROFIT
(03/09)
F ile Number___________________
TWO-YEAR REPORT FOR NON-PROFIT FOREIGN AND DOMESTIC CORPORATIONS
G
VERNMENT
O
OF THE
DISTRICT OF CO
UMBIA
L
DUE JANUARY 15th
Filing Fee$ _______________
Indicate if corporation is
Domestic Non-Profit
RETAIN A COPY FOR YOUR RECORDS
Penalty
_______________
SEE REVERSE SIDE FOR FILING FEES, PENALTIES, ETC.
Foreign Non-Profit
MAKE CHECK PAYABLE TO D.C. TREASURER
Interest
_______________
MAIL REPORT TO : DEPT. OF CONSUMER AND REGULATORY AFFAIRS
CORPORATIONS DIVISION
Total $
_______________
.O. BOX 92300,
ASHING
T
ON, D.C. 20090
P
W
1. Name of Corporation
4. Name of registered agent and address of registered office in the District of
Columbia (Do not make change of agent or address on this form)
2. Organized under the laws of (insert
District of Columbia, State or Country)
5. Brief statement of business or affairs conducted in the District of Columbia
3. If a foreign non-profit corporation, the address of its principal office in the
state or Country where organized
6. If a domestic non-profit corporation, the address including street and number,
of principal office in the District of Columbia
7. Name and address, including street and number of directors and officers
NAME ADDRESS
Director or Executive Di
ector
r
Director
Director
President
Vice President
Secretary
Treasurer
FOREIGN NON-PROFIT CORPORATIONS ANSWER ARTICLES 8 THRU 10 (
)
Do not apply to domestic corporation s
8. Date organized
10. Is corporation in good standing in State in which organized?
Yes
No
9. Term of existence authorized
perpetual
Limited to ________________ years
Date
By _____________________________________________(signature)
Pres.
Vice Pres.
Sec'y
CORPORATE SEAL
Its
Asst. Sec'y
Treas.
Asst. Treas.
(
non-profit corporation
A fee of $50.00 will be charged
)
only
for dishonored checks
FILED
By
(Over)