Form S&dc-Insurer - Nsurer - Statement And Designation By Foreign Corporation - 2005
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1
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5Secretary of State
th
rd
Business Entities
1500 11
Street, 3
Floor
(916) 657-5448
Sacramento, CA 95814
Business Programs Division
REQUIREMENTS FOR QUALIFICATION
OF FOREIGN INSURER CORPORATIONS
To qualify for the transaction of intrastate business in the State of California, an insurer corporation
organized under the laws of another state or country must file, with the California Secretary of State, a
signed statement setting forth the information prescribed by California Corporations Code
Section
2105. A
Statement and Designation by Foreign Corporation form for compliance with these requirements is
attached.
A certificate by an authorized public official of the state or place of incorporation, to the effect that the
corporation is an existing corporation in good standing status in that state or place, must be attached to the
Statement and Designation by Foreign Corporation form at the time of filing. A certified copy of the Articles
of Incorporation does not meet statutory requirements and cannot be accepted in lieu of the required
certificate.
In addition, as required by Corporations Code
Section
2106.5, a certificate of the California Insurance
Commissioner approving the corporate name must be attached to the Statement and Designation form at
the time of filing.
Upon the filing of the Statement and Designation by Foreign Corporation form, a Certificate of Qualification
will be issued to the corporation. The certificate is issued only at the time of qualification and will not be
reissued if lost or misplaced.
The fee for filing the Statement and Designation by Foreign Corporation is $100.00. Check(s) should be
made payable to the Secretary of State.
PLEASE NOTE: Corporations qualified to transact intrastate business in California are subject to
California corporation franchise tax requirements until such time as they formally surrender their right to
transact intrastate business.
Information regarding franchise tax requirements can be obtained from the
Franchise Tax Board’s Internet Web site
or by calling the Franchise Tax Board at 1-800-852-5711.
Documents can be mailed or hand delivered for over-the-counter processing to the Sacramento office at:
Business Programs Division
(916) 657-5448
th
1500 11
Street
Sacramento, CA 95814
Attention: Document Filing Support Unit
OR
can be hand delivered for over-the-counter processing to any of the regional offices located in:
♦ Fresno
(559) 445-6900
1315 Van Ness Avenue, Suite 203
Fresno, CA 93721-1729
Secretary of State Information
(Please see reverse)
S&DC-INSURER (REV 03/2005)
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