Form F Fpc - Foreign Corporation Certificate Of Registration

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F
The Commonwealth of Massachusetts
FPC
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Foreign Corporation
FORM MUST BE TYPED
FORM MUST BE TYPED
Certifi cate of Registration
(General Laws, Chapter 156D, Section 15.03; 950 CMR 113.48)
(1) Exact name of the corporation, including any words or abbreviations indicating incorporation:
________________________________________________________________________________________________
(2) Name under which the corporation will transact business in the commonwealth that satisfi es the requirements of G.L. Chap-
ter 156D, Section 15.06:
________________________________________________________________________________________________
If applicable, please attach:
• an agreement to refrain from use of the unavailable name in the commonwealth; and
• a copy of the doing business certifi cate fi led in the city or town where it maintains its registered offi ce; and
• a copy of the resolution of the corporation’s board of directors, certifi ed by its secretary, the name under which the corpora-
tion will transact business in the commonwealth pursuant to 950 CMR 113.50(4).
(3) Jurisdiction of incorporation: __________________________________________________________________________
Date of incorporation: ______________________________ Duration if not perpetual: ____________________________
(month, day, year)
(4) Street address of principal offi ce: _______________________________________________________________________
(number, street, city or town, state, zip code)
(5) Street address of registered offi ce in the commonwealth: _____________________________________________________
(number, street, city or town, state, zip code)
Name of registered agent in the commonwealth at the above address: _____________________________________
I, _________________________________________________________________________________________________
registered agent of the above corporation consent to my appointment as registered agent pursuant to G. L. Chapter 156D, Section
5.02.*
* Or attach registered agent’s consent hereto.
P.C.
c156ds1503950c11348 01/13/05

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