Application For Certificate Of Authority - Colorado Secretary Of State
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1FOR OFFICE USE ONLY
023
APPLICATION FOR CERTIFICATE OF AUTHORITY
FOREIGN NONPROFIT CORPORATION
Return to: Secretary of State
1560 Broadway, Suite 200
Denver, CO 80202
(303) 894-2251
Fax (303) 894-2242
FILING FEE: $75.00
Submit 1 typed original + 1 copy
(Please include a self-addressed envelope)
Pursuant to the provisions of the Colorado Revised Nonprofit Corporation Act, the undersigned corporation hereby applies for Authority to conduct its
business in the state of Colorado, and for that purpose, submits the following:
1.
Name of the corporation:
2.
Name which its elects to use in Colorado is:
3.
State of incorporation:
4.
Date of such incorporation ___________________
Period of duration is _______________________
5.
Address of the principle office in the state or country under the laws by which it is incorporated
6.
Street address of the proposed registered office in the state of Colorado
Name of the proposed registered agent in the state of Colorado:
Signature of Registered Agent:
Date commenced or expects to commence conducting affairs in State of Colorado:
7.
Names and respective address of directors and officers
_____________________________
_______________________________________
________
Name
Address
Title
_____________________________
_______________________________________
________
Name
Address
Title
_____________________________
________________________________________
_______
Name
Address
Title
THIS APPLICATION MUST BE ACCOMPANIED BY A CERTIFICATE OF GOOD STANDING ISSUED BY THE JURISDICTION OF ITS
INCORPORATION AND DATED WITHIN NINETY (90) DAYS OF FILING THIS APPLICATION.
Signature______________________________________
Title ____________________
Form Approved Secretary of State Rev. 8/98
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