Application For Certificate Of Authority For Foreign Cooperative Association Form
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1Version 2; 04-30-09
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District of Columbia Government
Corporations Division
PO Box 92300
Washington DC 20090
ity for Foreign Cooperative Association
Application for Certificate of Author
Use this form to register a Foreign Cooperative Association.
ENTITY TYPE
FILING FEE
Foreign Cooperative Association
$6, payable to DC Treasurer
Under the provisions of the District of Columbia Official
Code and the Cooperative Association Act, the undersigned
cooperative association hereby applies for a Certificate of Authority to transact business in the District of Columbia,
and for that purpose submits the following statement:
1. Entity Name
2. Cooperative Association Designation elected in the District (Add
Cooperative Association or Cooperative if this designation is not
required by the state of incorporation)
3. Incorporated under the laws of which state or country
4. Date of incorporation
5. Term of Existence
6. Date you started or will start transacting business in the District
Columbia
7. Address of cooperative association in state where it is formed. (If the principal address is outside the state of formation, give the RA in the
state of formation.)
8. Briefly describe the proposed activity the corporation will transact in the District of Columbia. ("General purpose" is not an acceptable
description)
9. List all officers and directors of cooperative association (attach list if you need more space).
TITLE
NAME
ADDRESS
10. Attach your Certified Copy of Articles of Incorporation and any Amendments, from the State/Country of Incorporation. The attachments
must have state certification dates within the last 6 months and -- if they were not originally in English -- be translated into English by a
government-agency-certified translator. Good standing certificates or certificates of status or existence are not sufficient.
11. Select the corporate officer executing this form
12. Signature
President
Vice-President
13. Select corporate officer executing this form
14. Signature
Secretary
Assistant Secretary
If you sign this application, 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:
Department of Consumer and Regulatory Affairs
Corporations Division
PO Box 92300
Washington, DC 20090
Phone: (202) 442-4400
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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