Form 635_0110a - Application For Certificate Of Authority - State Of Iowa - 2012
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1
2APPLICATION FOR
MATT SCHULTZ
CERTIFICATE
Secretary of State
OF AUTHORITY
State of Iowa
TO THE SECRETARY OF STATE OF THE STATE OF IOWA:
Pursuant to section 1503 of the Iowa Business Corporation Act, the undersigned corporation applies for a
certificate of authority to transact business in Iowa, and states:
1. The name of the corporation is:
1A. [See note 6] The name the corporation will use in Iowa, if different than the legal name of the corporation is:
2. The corporation is incorporated under the laws of the state [or foreign country] of:
3. The date of incorporation of the corporation was:
4. The duration of the corporation is:
5. The street address of its principal office is:
Address
City, State, Zip
6. The street address of its registered office in Iowa and the name of its registered agent at that office:
Name
Address
City, State. Zip
7. The names and business addresses of its current directors and officers:
Name
Address
City, State, Zip
Name
Address
City, State, Zip
Name
Address
City, State, Zip
635_0110A
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