F
The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Foreign Corporation
FORM MUST BE TYPED
FORM MUST BE TYPED
Certifi cate of Registration
(General Laws, Chapter 156D, Section 15.03; 950 CMR 113.48)
(1) Exact name of the corporation, including any words or abbreviations indicating incorporation
________________________________________________________________________________________________
(2) Name under which the corporation will transact business in the commonwealth if its name does not satisfy the requirements
of G.L. Chapter 156D, Section 15.06
________________________________________________________________________________________________
If applicable, please attach:
an agreement to refrain from use of the unavailable name in the Commonwealth; and
a copy of the doing business certifi cate fi led in the city or town where it maintains its registered offi ce; and
a copy of the resolution of the corporation’s board of directors, certifi ed by its secretary, adopting the fi ctitious name
pursuant to 950 CMR 113.49(4).
(3) Jurisdiction of incorporation __________________________________________________________________________
Date of incorporation ______________________________ Duration if not perpetual ____________________________
(month, day, year)
(4) Street address of principal offi ce ________________________________________________________________________
(number, street, city or town, state, zip code)
(5) Street address of registered offi ce in the commonwealth ______________________________________________________
(number, street, city or town, state, zip code)
Name of registered agent in the commonwealth at the above address ___________________________________________
I, _________________________________________________________________________________________________
Registered Agent of the above corporation consent to my appointment as registered agent pursuant to G. L. c. 156D, Section
5.02.*
* Or attach registered agent’s consent hereto.
P.C.
c156d1503 10/27/04