Form Fnp - Application For Certificate Of Authority, Form F-Stmnt - Statement Of Acceptance Of Appointment - 2013

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325 Don Gaspar, Suite 300 ∙ Santa Fe, NM 87501
(800) 477-3632 ∙
SUBMIT ORIGINAL AND A COPY
Foreign Nonprofit
Corporation
TYPE OR PRINT LEGIBLY
APPLICATION FOR CERTIFICATE OF
AUTHORITY
The undersigned corporation, in order to apply for a Certificate of Authority to conduct
affairs in New Mexico under the Nonprofit Corporation Act, submits the following
statement to the Secretary of State:
1. The name of the corporation is (must be identical to the corporate name as stated on the
certificate of good standing from its domestic state):
___________________________________________________________________________
___________________________________________________________________________
It is incorporated under the laws of ______________________________________________
2. The date of incorporation in its domestic state is: ___________________
The period of duration is: ________________________.
3. The address of the corporation’s registered office in its domestic state is:
______________________________________________________________________________
_______________
The address of the principal office, if different from the registered office address, is:
___________________________________________________________________________
4. The street address of the proposed registered office in New Mexico is: ______________
____________________________________________________________________________
(P.O. Box is not acceptable. Provide a description of the geographical location if a street
address does not exist).
The name of the registered agent at the address of the New Mexico registered office is:
______________________________________________________________________________
5. The purpose that the corporation proposes to pursue in conducting its affairs in New Mexico is
(at least one specific purpose must be stated; attach additional page if needed):
______________________________________________________________________________
6. The names and respective addresses of the officers and directors of the corporation are
(indicate the applicable title of each officer and each director; attach additional page if needed):

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