Form N-09 - Application For Certificate Of Authority For Nonprofit Corporation - 2000 Page 2
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3APPLICATION FOR CERTIFICATE OF AUTHORITY
FOR NONPROFIT CORPORATION
Page 2
10. (Check one of the following.)
a.
_____The corporation has members.
b.
_____The corporation does not have members.
11. Attached is a certificate of existence (or document of similar import), duly authenticated by the Secretary of State or other
official having custody of corporate records in the state or country of incorporation.
12. If the corporation is required to use a fictitious name in order to conduct affairs in this State, a copy of the resolution of its board
of directors, certified by its secretary, adopting the fictitious name is attached.
13. This application will be effective upon filing, unless a date and/or time is specified:____________________________________
This the ________ day of __________________ , 20_____
___________________________________
Name of Corporation
___________________________________
Signature
___________________________________
Type or Print Name and Title
Notes:
1.
Filing fee is $125. This document and one exact or conformed copy of this application must be filed with the Secretary of State.
Revised January 2000
Form N-09
CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-0622
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