Form Dscb:15-418 - Transfer Of Foreign Registration
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4PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Return document by mail to:
Name
Address
City
State
Zip Code
Return document by email to:
_________________________________
Read all instructions prior to completing. This form may be submitted online at https://
Fee: $70
In compliance with the requirements of the applicable provisions of 15 Pa.C.S. § 418 (relating to transfer of
registration), the undersigned registered foreign association hereby states that:
1. The name of the association under which it is registered to do business in this Commonwealth and before the merger or
conversion is:
2. The type of association before the merger or conversion is (check only one):
Business Corporation
Limited Partnership
Business Trust
Nonprofit Corporation
Limited Liability (General) Partnership
Professional Association
Limited Liability Company
Limited Liability Limited Partnership
3. The name of the association following the merger or conversion:
3A. If the name in 3 does not contain a required designator or if the name in 3 is not available for use in the
Commonwealth, the alternate name under which the association is registering in this Commonwealth is:
4. The type of association after the merger or conversion (check only one):
Business Corporation
Limited Partnership
Business Trust
Nonprofit Corporation
Limited Liability (General) Partnership
Professional Association
Limited Liability Company
Limited Liability Limited Partnership
5. The jurisdiction of formation of the association after the merger or conversion is: ______________________________
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