Application For Certificate Of Authority Foreign Non-Profit Corporation - Government Of The District Of Columbia Page 2

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10. Attached to this application is an original certified copy of the corporation's articles of
incorporation and all amendments hereto, certified within a six-month period by the
proper authority in the State/County in which organized.
11. Names and addresses (including streets and numbers) of its officers and directors:
(NOTE: Include all officers and directors. If more space is required, attach an additional
sheet).
President Name __________________________________________________________
Address ________________________________________________________________
_______________________________________________________________________
Vice President Name ______________________________________________________
Address ________________________________________________________________
_______________________________________________________________________
Secretary Name __________________________________________________________
Address ________________________________________________________________
_______________________________________________________________________
Treasurer Name __________________________________________________________
Address ________________________________________________________________
_______________________________________________________________________
Director Name ___________________________________________________________
Address ________________________________________________________________
_______________________________________________________________________
Corporate Name _________________________________________________________
Signature of President or Vice President
_______________________________________________________________________
Signature of Secretary or Assistant Secretary
_______________________________________________________________________
(Corporate Seal)
FEES DUE
Filing Fee .........$70.00
MAKE CHECK PAYABLE TO D.C. TREASURER

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