Registration Application For A Commercial Co-Venturer Form
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1
2SOUTH CAROLINA
SECRETARY OF STATE
PUBLIC CHARITIES DIVISION
REGISTRATION APPLICATION
C
C
-
OMMERCIAL
O
VENTURER
Filing Instructions
All lists, attachments and documents requested in this application must accompany the application or it
will be returned for correction—they are not optional.
This application must be signed by the CEO/President and CFO/Treasurer. If the persons signing this
form are not listed as currently holding those positions, this form will be returned for correction.
Include the $50.00 filing fee, payable to South Carolina Secretary of State, with this application.
Please contact our office with any questions regarding this form at 803-734-1790 or charities@sos.sc.gov.
Mail to: South Carolina Secretary of State, Public Charities Division, 1205 Pendleton St., Suite 525,
Columbia, SC 29201.
Check one:
[ ] Initial Registration
[ ] Renewal
Fundraiser ID: ______________
(Renewal only)
1.
Legal name of company: __________________________________________________________________
A. DBA (if applicable): __________________________________________________________________
B. EIN: _____--______________
C. Principal address: _____________________________________________________________________
D. Mailing address (if different): ___________________________________________________________
E. Phone Number: ______________________________
F. E-mail: _____________________________________
G. Website: ____________________________________
2.
Please provide a contact person for the company:
_______________________________________________________________________________________
Name
Title
_______________________________________________________________________________________
Address, City, State, Zip Code
_______________________________________________________________________________________
Daytime Phone
Email
3.
Company is operating as:
[ ] Sole Proprietor
[ ] Corporation
[ ] Partnership
[ ] LLC
[ ] Other: ____________
Organized in the State of: _________________________ Date organized: __________________________
4. Registered agent:
____________________________________________________
Name
______________________________________________________________________________________
Street Address (PO Box cannot be accepted)
City
State
Zip Code
** Companies who have a principal place of business outside the state of South Carolina, and who do not have a
registered agent in South Carolina, may elect to use the Secretary of State for its registered agent.
Registration Application, Commercial Co-venturer, Revised September 2015
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