Form Fn-1 - Foreign Registration Statement - Department Of Consumer And Regulatory Affairs

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District of Columbia Government
Corporations Division
Foreign Registration Statement Form FN-1,
Version 1, January 2012.
Use this form to register your foreign filing entity to conduct business in the District of Columbia. Review instruction sheet before completing
this form.
ENTITY TYPE
FILING FEE
Foreign Filing Entity
Refer to Corporate Fee Schedule posted online
Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the foreign filing entity listed below hereby applies
for a Certificate of Registration to transact business in the District of Columbia, and for that purpose submits the statement below.
1.1. Entity Name.
2. Entity Type.
3. Entity’s Alternate Name (if true legal name is not available)
4. Organized under the laws of which state or country.
4.5. Date of Organization.
6. Date entity started or will start transacting business in the District of Columbia.
7. Principal Address.
8. Registered Agent’s name and address of registered office in District of Columbia.
9. Briefly describe the proposed activity company will transact in the District of Columbia.
10. List the name of at least one governor. (may attach the statement)
TITLE
NAME
ADDRESS
11. Attach an original Certificate of Good Standing (Certificate of Existence) from Registration Authority in the State/Country of Incorporation
that is not over 90 days old.
If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties
of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405;
12. Name of the Governor or Authorized Person:
12A. Signature of the Governor or Authorized Person & Date.
Mail all forms and required payment to:
Corporate Online Services Information:
Many corporate filings are available by using CorpOnline Service.
Department of Consumer and Regulatory Affairs
Go to CorpOnline site at https://corp.dcra.dc.gov, create a profile, access
Corporations Division
PO Box 92300
the online services main page and proceed. Online filers must pay by using
Washington, DC 20090
a credit card.
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 Registration.”

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