Application For Certificate Of Authority For Foreign Non-Profit Corporation/form Ra-1 - Registered Agent Written Consent Page 2

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RA-1. Registered Agent Written Consent
Use this form to appoint a Registered Agent for an entity. Choose Option A or B, but not both. There is no filing fee for this form.
:
Under DC Official Code (DCOC) Titles 29 and 41, a Registered Agent (RA) must be
A bona fide resident of the District of Columbia (District), or
A for-profit corporation, authorized by articles of incorporation or certificate of authority to act as agent.
Limited Liability Corporations (LLCs) and Limited Liability Partnerships (LLPs) may not act as RAs. Entities may not act as their own RAs.
A. By a District Of Columbia resident: I, a bona fide District resident, consent to act as a RA for the entity below.
Name of Resident
Address of Resident
Signature
Entity Name
B. By a legally authorized corporation: The authorized corporate Registered Agent in the District, by the signatures of its President/Vice-
President and Secretary/Assistant Secretary, agrees to act as RA for the entity below.
Name of R.A.Corporation
Address
Entity Name
Signature
President
Vice-President
Signature
Secretary
Assistant Secretary
If you sign this form, you agree that you understand that anyone who makes a false statement anywhere on it can be
punished by
criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405.
Mail all forms and required payment to:
For overnight delivery send to:
Corporate Bank of America
Department of Consumer and Regulatory Affairs
Attention: DC Government
Corporations Division
Wholesale Lockbox #92300
PO Box 92300
Mail Code MD4-301-18-04
Washington, DC 20090
225 North Calvert Street - 18
floor
th
Phone: (202) 442-4432
Baltimore, Maryland 21202
Please check dcra.dc.gov to view organizations required to register, to search business names, to get step-by-step guidelines to register an
organization, to search registered organizations, and to download forms and documents. Just click on "Corporate Registrations."

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