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personal address or the corporate business address. Attach additional pages, if necessary.

Effective JULY 1, 2015,

Section 11.

Check the appropriate box indicating whether or not the corporation is "veteran-owned."

the following criteria

must be met in order to qualify as a "veteran-owned" entity: (1) veteran must be "honorably discharged or under honorable conditions;" and (2) a privately-

owned entity must be at least fifty-one per cent (51%) unconditionally owned by one or more veterans; or (3) if a publicly-owned entity, at least fifty-one per

cent (51%) of the stock must be unconditionally owned by one or more veterans [see WV Code 59-1-2a(12)-(13)(A)(B)]. If "Yes," you must provide proof

of veteran status by including with this application a copy of your Veteran Affairs Form DD214.

Section 12.

Enter the number of acres the company desires to hold in West Virginia. If your company holds more than 10,000 acres of land, you must

submit a fee of 5¢ for each acre over 10,000.

Section 13.

a. Listing the name of a contact person is optional; however, listing one may speed up the filing process and avoid a possible rejection of the

filing if there appears to be a problem with the filing.

b. Print the name of the person signing and list the title/capacity

c. An individual (Officer/Director) with signature authority must sign and date the form.

ANNUAL REPORT NOTICE:

West Virginia Code 59-1-2a. requires every corporation (both for profit and non-profit) to file an annual report and pay the annual report

filing fee between January 1 and July 1 of each year following the calendar year in which the business was registered with the Office of the Secretary

of State. The $25 annual report fee is waived for Veteran-owned entities for the following four (4) years after initial formation in West Virginia [see

West Virginia Code 59-1-2a(m)]. Failure to file may result in revocation of the organization's legal authority to transact business in the state.

Notification of the filing requirement will be sent, but the company is responsible for filing the annual report as required by West Virginia Code.

You may file the annual report online at

You must

to create a personal “Filing

Cabinet” to file the annual report.

West Virginia Code

requires every “benefit corporation,” as described in Section 8b. above, to prepare an annual benefit

§31F-5-501

report (separate and unrelated to the Secretary of State Annual Report referenced above) made available annually to each shareholder of the benefit

corporation. See West Virginia Code

§31F-5-501

for further information regarding the “Annual Benefit Report.”

FILING THE APPLICATION - ONE ORIGINAL REQUIRED - AND PAYING THE FEE

Send an additional original if you want a filed date-stamped copy returned to you at no additional cost.

The filing fee will consist of paying a registration fee and excess acreage fee, if applicable.

If requesting a certified copy, an additional fee of $15 per certified copy requested is required.

For Profit Corporations - $100

Non-Profit Corporations - $50

Veteran-owned entity registration FEE WAIVED - $0

Registration

fee*

_______________

[Registration fee is waived effective July 1, 2015 per WV Code 59-1-2(j); Be

sure to attach the veteran proof of status Veteran Affairs Form DD214.]

Excess Acreage fee:

+_______________

$15 per certified copy: +_______________

Total fee:

=_______________

**** Make your checks payable to West Virginia Secretary of State. ****

TEXT ALERTS: Stay up-to-date regarding filing deadlines and changes to business, charity, notary, private investigation, and security guard laws. To sign

up, go to

www.

and click on the Business and Licensing category link. On the Business and Licensing page, scroll down and click on the

Click

Here To Sign Up For Text Alerts From The West Virginia Secretary Of State's Office

link. Next, under the heading, “Choose SMS Subscription,” click the

down arrow and select “Business and Licensing.” Then enter your ten-digit mobile phone number and your cellular carrier. Click Subscribe. This will allow

you to get important information delivered right to your mobile phone. Please note, standard text messaging rates apply and you may unsubscribe at any time.

CHARITABLE REGISTRATION: If your company receives contributions, donations or grants, registration as a charitable organization may be required.

Contact our office for more information or visit our website at

WITHDRAWAL: A foreign corporation is a legal entity which can only withdraw its Certificate of Authority through formal action - not by submitting a

letter or making a phone call to the Secretary of State. To withdraw from its Certificate of Authority, a foreign corporation must file the Application for

Certificate of Withdrawal from Certificate of Authority (Form CF-5) and pay the withdrawal fee. You remain liable for all taxes, assessments, fines,

penalties and interest until you receive a Certificate of Withdrawal from the Secretary of State. Contact our office for more information.

Form CF-1

Issued by the Office of the Secretary of State

Rev. 6/15