Form Dfi/corp/21 - Foreign Business Corporation - Certificate Of Authority Application - 2015 Page 2

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9. Names and Usual Business Addresses of Officers (may be scheduled).
Title
Name
Address
CEO.
Pres.
V-P
Secy
Treas.
10. Names and Usual Business Addresses of Directors (may be scheduled). If the corporation has no
directors, enter “None”.
Title
Name
Address
Chair.
Dir.
Dir.
Dir.
11. Indicate the number of shares the corporation has authority to issue and the number of shares
issued, itemized by class and series (if any), and the par value of the shares, or a statement that the
shares are without par value: (may be scheduled)
Number of Shares
Indicate Par
Value ($) per share,
AUTHORIZED
or “NPV” for No Par
Class
Series
to issue
ISSUED
Value
12. Compute the proportion of capital the corporation expects to have represented in Wisconsin in
the coming year, using either a calendar or fiscal year basis. (NOTE: Start by completing items A(1)
thru A(7). Continue, and in sequence, first complete item B and next item C, as each or both may be
necessary, and post the results to item A and complete the computations in item A. Corporations
having both Par Value and No Par Value shares issued will utilize both item B and item C.
DFI/CORP/21 (R03/15)
2

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