Application Form For Certificate Of Registration And Articles Of Continuance Of A Nonprofit Corporation Form - 2004

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APPLICATION FOR CERTIFICATE OF REGISTRATION AND
ARTICLES OF CONTINUANCE OF A NONPROFIT CORPORATION
Wyoming Secretary of State
Phone (307) 777-7311/7312
The Capitol Building, Room 110
Fax (307) 777-5339
200 W. 24th Street
E-mail: corporations@state.wy.us
Cheyenne, WY 82002-0020
Pursuant to W.S. 17-19-1710 of the Wyoming Nonprofit Corporation Act, the undersigned hereby sub-
mits the following Articles of Continuance:
1.
The name of the corporation is: _______________________________________________________
2.
It is incorporated under the laws of: ____________________________________________________
3.
The date of its incorporation is: _______________________________________________________
and the period of its duration is: ______________________________________________________
4.
The address of its principal office in the state under the laws of which it is incorporated is:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
5.
The mailing address where correspondence and annual reports can be sent:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
6.
The physical address of its registered office in Wyoming and the name of its registered agent at that
address is: _______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(The agent must be an individual who resides in this state, a domestic corporation or not-for-profit domestic
corporation or a foreign corporation or not-for-profit foreign corporation authorized to transact business in this
state.)
7.
The purpose or purposes of the corporation which it proposes to pursue in the transaction of
business in this state: _______________________________________________________________
______________________________________________________________________________

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