Application For Certificate Of Authority/affidavit Of Acceptance Of Appointment By Designated Initial Registered Agent

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TYPE OR PRINT LEGIBLY
FILE DUPLICATE ORIGINALS
APPLICATION FOR CERTIFICATE OF AUTHORITY
The undersigned corporation applies for a Certificate of Authority to transact business in New Mexico
under the Business Corporation Act, and for that purpose submits the following statement to the State
Corporation Commission:
1. Its corporate name is __________________________________________________________
______________________________________________________________________________
(Corporate name identical to name on attached Certificate of Good Standing and Compliance/Existence)
and is incorporated under the laws of ___________________________________________________.
2. If the corporate name does not contain the word "corporation," "company," "incorporated," or "limited," or
an abbreviation of one of these words, then its corporate name with the word or abbreviation which it elects to
add thereto for use in New Mexico is___________________________________________________
________________________________________________________________________________.
3. The date of its incorporation is __________________________and the period of its duration, as stated in
its articles of incorporation, is __________________________.
4. The street address, city and zip code of its registered office in its state or country of incorporation is
________________________________________________________________________________,
and the address, city, state and zip code of the principal office, if different from its address in the state or
country of incorporation is:___________________________________________________________
_________________________________________________________________________________
5. The name of its proposed registered agent and the registered office, street address (P.O. Box is
unacceptable unless geographical location is given), city and zip code located in New Mexico are
_____________________________________________________________________________
_____________________________________________________________________________
6. The purpose or purposes (at least one specific purpose must be stated) which it proposes to pursue in
the transaction of business in New Mexico are:
(ATTACH SCHEDULE, IF NEEDED)
7. The names and respective addresses of the officers and directors, who have consented to serve, are:
(ATTACH SCHEDULE, IF NEEDED)
8. The aggregate number of shares which it had authority to issue, itemized by classes, and series, if
any, within a class is:
(ATTACH SCHEDULE, IF NEEDED)

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