Application For Certificate Of Authority (Nonprofit) - Idaho Secretary Of State
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APPLICATION FOR CERTIFICATE
Click here to clear form.
OF AUTHORITY (Nonprofit)
(Instructions on back of application)
The undersigned Corporation applies for a Certificate of
Authority and states as follows:
1. The name of the corporation is: ______________________________________________________________
2. The name which it shall use in Idaho is: _______________________________________________________
3. It is incorporated under the laws of: __________________________________________________________
4. Its date of incorporation is: ____________ and its duration, if other than perpetual, is: __________________
5. The street address of its principal office is:
______________________________________________________________________________________
6. The address to which correspondence should be addressed, if different than item 5, is:
______________________________________________________________________________________
7. The street address of its registered office in Idaho is:
______________________________________________________________________________________ ,
and its registered agent in Idaho at that address is: ______________________________________________
8. Does the corporation have members?
Yes
No
9. The names and respective addresses of its directors and officers are:
Name
Office
Address
Dated: __________________________________
Secretary of State use only
Signature: _______________________________
Typed Name: _____________________________
Capacity: ________________________________
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Parent category: Business