Form 341 - Domestic Business Corporation Initial Report printable pdf download

Form 341 - Domestic Business Corporation Initial Report

W. Fox McKeithen

Secretary of State

DOMESTIC BUSINESS CORPORATION INITIAL REPORT

(R.S. 12:25 and 12:101)

1. The name of this corporation is: ______________________________________________________

2. The location and municipal address (not a P.O. Box only) of this corporation's registered office:

_________________________________________________________________________________

3. The full name and municipal address (not a P.O. Box only) of each of this corporation's registered

agent(s) is/are:

_________________________________________________________________________________

4. The names and municipal addresses (not a P.O. Box only) of the first directors are:

_________________________________________________________________________________

Incorporator(s) signature(s):

____________________________________________

AGENT'S AFFIDAVIT AND ACKNOWLEDGEMENT OF ACCEPTANCE

I hereby acknowledge and accept the appointment of registered agent for and on behalf of the

above named corporation.

Registered agent(s) signature(s):

____________________________________________

Sworn to and subscribed before me this ______________ day of __________________, 19_______.

_______________________________________________

Notary

341 Rev. 4/97

Form 341 - Domestic Business Corporation Initial Report