Application For Certificate Of Authority For A Foreign Non-Profit Corporation

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State of Utah
File Number:
DEPARTMENT OF COMMERCE
Check Here If:
Fee:
Division of Corporations and Commercial Code
G Qualify
$20.00
G Re-Qualify
$20.00
Application for Certificate of Authority for a Foreign Non-Profit Corporation
Exact Corporate Name
1. A corporation of the state of
, incorporated
day of
, 20
.
2. The corporations period of duration is
(usually perpetual).
3. The address of the corporation's principal office is:
Street Address
City
State
Zip
4. The Registered Agent in Utah is:
The street address of the registered office in Utah is:
Utah
Street Address
City
Zip
Signature of Registered Agent (Required):
5. The business purposes to be pursued in Utah are:
6. The corporation commenced or intends to commence business in Utah on:
7. The names and addresses of the corporation's officers and trustees are:
Name
Address
City
State
Zip
President
Vice-President
Secretary
Treasurer
Trustee
Trustee
Trustee
8. A certification of Good Standing/Existence from the State of Incorporation dated no earlier than ninety (90) days prior
to filing with this office is attached to this application.
9. If the name is not available in Utah, the corporation shall use
(Please refer to (U.C.A. 16-10a-1506).)
Under penalties of perjury, I declare that this application for Certificate of Authority has been
examined by me and is, to the best of my knowledge and belief, true, correct and complete.
BY:
TITLE:
DATE: ___________
Corporate Officer
File in duplicate.
FREE! You may visit our Web Site to access this document and other information.
Mail In: 160 East 300 South, 2nd Fl. Box 146705
Salt Lake City, UT 84114-6705
Walk In: 160 East 300 South, Main Floor
Service Center: (801) 530-4849
Toll Free Number: (877) 526-3994 (Utah Residents)
Fax: (801) 530-6111
Web Site:
common\forms\Corps\Npcrtath
Revised: 05-22-00 mm

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