Form Dfi/corp/21 - Foreign Business Corporation - Certificate Of Authority Application - 2015

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FILING FEE
See Page 4
for filing fee
OPTIONAL EXPEDITED
+ $25.00
SERVICE
DO NOT STAPLE
State of Wisconsin
Sec. 180.1503
DEPARTMENT OF FINANCIAL INSTITUTIONS
Wis. Stats.
Division of Corporate & Consumer Services
FOREIGN BUSINESS CORPORATION – CERTIFICATE OF AUTHORITY
APPLICATION
Indicate (X) below if the application is for a (A) ORIGINAL or (B) for an AMENDED certificate.
1. A.
ORIGINAL certificate
Name of Corporation
2. State or Country of
Incorporation
1. B.
AMENDED certificate (Enter the corporate name, state or country of organization, and date
of incorporation, as changed or continued.) Complete all other items, except items 8, and 12 thru 14.
Previous Name of Corporation (name under which it is currently registered in WI)
2. State or Country of
Incorporation
New or Continuing Name of Corporation
2. State or Country of
Incorporation
4. Does the corporation have perpetual existence?
.
3
Date of Incorporation (MM/DD/YYYY)
Yes
No, organized for a duration of ______________ years
5. Name of Registered Agent in Wisconsin
. Street address of Registered Office in Wisconsin
6
City
State
Zip/Postal code
WI
. Address of Principal Office
7
City
State/Province
Country
Zip/Postal code
8. Has the corporation transacted business in Wisconsin without holding a Certificate of Authority?
No
Yes
If “Yes”, complete and attach supplement on pages 5 & 6.
RESET
DFI/CORP/21 (R03/15)
1

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