Certificate Of Authority (Foreign Profit Corporation) - Washington Secretary Of State Page 2
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SECTION 5
TENURE: (Please check one of the following and indicate the date if applicable)
□
Perpetual existence
□
Specific term of existence _______________ (Number of years or date of termination)
SECTION 6
DATE CORPORATION BEGAN DOING BUSINESS IN WASHINGTON STATE:
SECTION 7
NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT:
Name: ____________________________________________________________________________
Physical Location Address (required):
______________________________________________________________
City _____________________________________________ WA Zip Code ____________
Mailing or Postal Address (optional):
_______________________________________________________________
City _____________________________________________ WA Zip Code _____________
CONSENT TO SERVE AS REGISTERED AGENT:
I consent to serve as Registered Agent in the State of Washington for the above named corporation. I
understand it will be my responsibility to accept Service of Process on behalf of the corporation; to forward mail
to the corporation; and to immediately notify the Office of the Secretary of State if I resign or change the
Registered Office Address.
X___________________________________________________________________________
Signature of Registered Agent
Printed Name
Date
SECTION 8
NAME AND ADDRESS OF EACH DIRECTOR AND OFFICER:
(If necessary, attach additional names and addresses)
Name: ________________________________
Title:________________
___
Address: ____________________________________________________________________________
City__________________________________ State ______ Zip Code _______ __
Name: ________________________________
Title:________________
___
Address: ____________________________________________________________________________
City__________________________________ State ______ Zip Code _______ __
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
X __________________________________________________________________________
Signature of Officer or Chairman
Printed Name/Title
Date
Phone Number
Foreign Profit Corporation – Certificate
Washington Secretary of State
Revised 07/10
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