Form 635_0110a - Application For Certificate Of Authority (Page 2 of 2) in pdf

Name ________________________________________________________________________________

Address _______________________________________________________________________________

City, State, Zip _________________________________________________________________________

Name ________________________________________________________________________________

Address _______________________________________________________________________________

City, State, Zip _________________________________________________________________________

[Please attach additional pages as necessary]

8. A certificate of existence, or a document of similar import, duly authenticated within 90 days prior to the date

of this application, by the official having custody of corporate records in the state or country of incorporation,

accompanies this application.

9. Signature ______________________________________________________________________________

Type or print name and title _______________________________________________________________

NOTES:

1. The filing fee is $100.00. Make checks payable to SECRETARY OF STATE.

2. The document is to be signed by the chairperson of the board, the president, or other officer of the corpora-

tion. If directors have not been selected, the document is to be signed by an incorporator. If the corporation

is in the hands of a court appointed fiduciary, the document is to be signed by the fiduciary. A copy of a

signature is acceptable for filing. Verification is not required.

3. One copy of the document is to be delivered to the Secretary of State for filing.

4. The effective time and date of the document is the later of the following:

a. the time of filing on the date it is filed;

b. the time specified in the document on the date it is filed;

c. the time and date specified in the document, not later than 90 days after the date it is filed.

5. If the name of the corporation does not satisfy the requirements of section 401 of the Iowa Business Corporation

Act, the corporation may do either of the following in applying for a certificate of authority:

a. add one of the following words or abbreviations to its corporate name for use in Iowa:

corporation, incorporated, company, limited, corp., inc., co., ltd.;

b. use a fictitious name to transact business in Iowa if the corporation's real name is unavailable and the

corporation delivers to the secretary of state for filing a copy of the resolution of its board of directors,

certified by its secretary , adopting the fictitious name.

SECRETARY OF STATE

Corporations Division

Hoover Building, 2nd Floor

Des Moines, Iowa 50319

Phone: 515/281-5204

FAX: 515/242-5953

635_0110A

01/99

Form 635_0110a - Application For Certificate Of Authority Page 2