Form Corp. 42 - Application For Certificate Of Authority For A Foreign For-Profit Corporation

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State of Missouri
This form is designed to be filled out online for your
convenience. Enter the data and press print when
Robin Carnahan, Secretary of State
ready. Use the reset button to reset the entire form.
Corporations Division
P.O. Box 778 / 600 W. Main Street, Rm 322
Print
Reset
Jefferson City, MO 65102
Application for Certificate of Authority
For a Foreign For-Profit Corporation
(Submit with filing fee of $155.00)
1.
The corporation's name is ___________________________________________________________________________________
and it is organized and existing under the laws of ________________________________________________________________
2.
The name it will use in Missouri is _________________________________________________________________________
3.
The date of its incorporation was _____________________________, and the period of its duration is ______________________
month/day/year
4.
The address of its principal place of business ____________________________________________________________________
Address
City/State/Zip
5.
The name and physical address of its registered agent and office in the State of Missouri is
_________________________________________________________________________________________________________
Name
Address
City/State/Zip
6.
The specific purpose(s) of its business in Missouri are:
7.
The name of its officers and directors and their business addresses are as follows:
Officers
Name
Address
City/State/Zip
President _________________________________________________________________________________________________
Vice President _____________________________________________________________________________________________
Secretary _________________________________________________________________________________________________
Treasurer _________________________________________________________________________________________________
Board of Directors
Director _________________________________________________________________________________________________
Director _________________________________________________________________________________________________
Director _________________________________________________________________________________________________
Director _________________________________________________________________________________________________
Director _________________________________________________________________________________________________
Name and address to return filed document:
Name: __________________________________________
Address: _________________________________________
______
City, State, and Zip Code: ____________________
Corp. 42 (01/05)

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