Form Ssc-101 - Application For Certificate Of Authority
Download a blank fillable Form Ssc-101 - Application For Certificate Of Authority in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Ssc-101 - Application For Certificate Of Authority with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1COMMONWEALTH OF KENTUCKY
TREY GRAYSON
SECRETARY OF STATE
APPLICATION FOR CERTIFICATE OF AUTHORITY
Pursuant to the provisions of KRS Chapter 271B, 273 or 274, the undersigned hereby applies for authority to transact business in
Kentucky on behalf of the corporation named below and for that purpose submits the following statements:
1. The corporation is
a business corporation (KRS 271B).
a nonprofit corporation (KRS 273).
a professional service corporation (KRS 274).
2. The name of the corporation is
______________________________________________________________________________________________.
3. The name of the corporation to be used in Kentucky is
______________________________________________________________________________________________.
(If "real name" is unavailable for use)
4. ________________________________ is the state or country under whose law the corporation is incorporated.
5. ________________________________ is the date of incorporation and the period of duration is ___________________________.
6. The street address of the corporation’s principal office is
_______________________________________________________________________________________________.
Street
City
State
Zip Code
7. The street address of the corporation’s registered office in Kentucky is
_______________________________________________________________________________________________
Street
City
State
Zip Code
and the name of the registered agent at that office is
_______________________________________________________________________________________________.
8. The names and usual business addresses of the corporation’s current officers and directors are as follows:
_____________________________________ __________________________________________________
President
_________________________________ __________________________________________________
Vice President
_____________________________________ __________________________________________________
Secretary
_____________________________________ __________________________________________________
Treasurer
Directors _____________________________________ _________________________________________________
_____________________________________ _________________________________________________
(Attach a continuation sheet, if necessary)
9. If a professional service corporation, all the individual shareholders, not less than one half of the directors, and all of the officers other
than the secretary and treasurer are licensed in one or more states or territories of the United States or District of Columbia to render
a professional service described in the statement of purposes of the corporation.
10. A certificate of existence duly authenticated by the Secretary of State accompanies this application.
11. This application will be effective upon filing, unless a delayed effective date and/or time is specified: _________________________
(Delayed effective date and/or time)
________________________________________________
Signature
________________________________________________
Type or Print Name & Title
Date: ______________________________________, 20_______
I, ______________________________________________________________, consent to serve as the registered agent on behalf of the corporation.
Type or print name of registered agent
_______________________________________________________________
Signature of Registered Agent
_______________________________________________________________
Type or Print Name & Title
SSC-101 (7/98)
(See attached sheet for instructions)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal