Form Cf-1 - Certificate Of Authority - West Virginia Secretary Of State
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1
2Joe Manchin, III
Penney Barker, Team Leader
Secretary of State
Corporations Division
State Capitol
Tel. (304) 558-8000
Fax (304) 558-5758
1900 Kanawha Blvd. E.
CERTIFICATE OF
Charleston, WV 25305
AUTHORITY
PLEASE READ INSTRUCTIONS
FILE ONE ORIGINAL
FEES PER SCHEDULE
CTRL # __ __ __ __
HOME STATE INFORMATION:
1.
The name of the corporation as it is
a.
registered in its home state is:
State of ________________ Date of Incorp.__________________Duration
__________________
(# yrs. or perpetual)
b.
Warning: Tax reporting requirements in West Va.
will not end until a withdrawal is filed.
PRINCIPAL OFFICE INFORMATION:
2.
Address of the principal office of
No. & Street
a.
he corporation:
City/State/Zip
Mailing address, if different,
b.
Street/PO Box
from above address:
City/State/Zip
WEST VIRGINIA INFORMATION:
3.
Corporate name to be used in W. Va.:
Home state name as listed on line 1.a. above, if available.
a.
(check one, follow instructions)
DBA name
Address of registered office in
No. & Street
b.
West Virginia, if any
City/State/Zip
Mailing address in WV,
Street/PO Box
c.
if different, from above
City/State/Zip
Proposed purpose(s) for
d.
transaction of business in WV
AGENT OF PROCESS:
4.
Properly designated person
Name
to whom notice of process
may be sent:
Address
CORPORATE STATUS INFORMATION:
5.
Corporation is organized as
:
a.
(check one)
For profit, stock
Non-profit, non-stock
Form CF-1
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