Form 635_0109 - Application For Certificate Of Authority (Cooperative)
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1
2APPLICATION FOR
MATT SCHULTZ
CERTIFICATE OF AUTHORITY
Secretary of State
(COOPERATIVE)
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 cooperative association is:
1A. [See note 6] T h e name the cooperative association will use in Iowa, if different than the legal name of the
corporation is:
2. The cooperative association is incorporated under the laws of the state or foreign country of :
3. The date of incorporation of the cooperative association was:
4. The duration of the cooperative association is:
5. The cooperative ownership is evidenced by: (check one)
membership without capital stock
capital stock
6. The street address of its principal office is:
Address
City, State, Zip
7. The street address of its registered office in Iowa and the name of its registered agent at that office:
Name
Address
City, State, Zip
8. The names and business addresses of its current directors and officers:
Name
Position(s):
Address
City, State, Zip
Name
Position(s):
Address
City, State, Zip
Name
Position(s):
Address
City, State, Zip
635_0109
rev 12/12
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Parent category: Legal