Form S&dc-Insurer - Statement And Designation By Foreign Corporation
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1
2
3REQUIREMENTS FOR QUALIFICATION
OF FOREIGN INSURER CORPORATIONS
To qualify for the transaction of intrastate business in the State of California, an insurer corporation
organized under the laws of another state or country must file, with the California Secretary of State, a
signed statement setting forth the information prescribed by California Corporations Code
Section
2105. A
Statement and Designation by Foreign Corporation form for compliance with these requirements is
attached.
An original certificate by an authorized public official of the state or place of incorporation, to the effect that
the corporation is an existing corporation in good standing status in that state or place, must be attached to
the Statement and Designation by Foreign Corporation form at the time of filing. A certified copy of the
Articles of Incorporation does not meet statutory requirements and cannot be accepted in lieu of the
required original certificate.
In addition, as required by Corporations Code
Section
2106.5, a certificate of the California Insurance
Commissioner approving the corporate name must be attached to the Statement and Designation form at
the time of filing.
Upon the filing of the Statement and Designation by Foreign Corporation form, a Certificate of Qualification
will be issued to the corporation. The certificate is issued only at the time of qualification and WILL NOT
BE REISSUED IF LOST OR MISPLACED.
THE FEE FOR FILING THE STATEMENT AND DESIGNATION BY FOREIGN CORPORATION IS
$100.00.
PLEASE NOTE: Corporations qualified to transact intrastate business in California are subject to
California corporation franchise tax requirements such time as they formally surrender their right to transact
intrastate business. Questions regarding franchise tax requirements must be directed to the Franchise Tax
Board at 1-800-852-5711.
Documents can be mailed or hand delivered for over-the-counter processing to the Sacramento
Headquarters Office at:
Business Programs Division
(916) 653-2318
th
1500 11
Street
Sacramento, CA 95814
Attention: Document Filing Support Unit
OR
can be hand delivered for over-the-counter processing to any of the branch offices located in:
♦ Fresno
(559) 243-2100
2497 West Shaw, Suite 101
Fresno, CA 93771
♦ Los Angeles
(213) 897-3062
The Ronald Reagan Building
th
12
Floor South Tower, Room 12513
300 South Spring Street
Los Angeles, CA 90013-1233
♦ San Diego
(619) 525-4113
1350 Front Street, Suite 2060
San Diego, CA 92101-3609
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