California Insurer Statement Of Redomestication {RDOM-1} | Pdf Fpdf Docx | California

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California Insurer Statement Of Redomestication {RDOM-1} | Pdf Fpdf Docx | California

Last updated: 4/20/2022

California Insurer Statement Of Redomestication {RDOM-1}

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Instructions for Completing the Statement of Redomestication (Form RDOM-1) To redomesticate a California insurance corporation to another state, you must file a Statement of Redomestication (Form RDOM-1) with the California Secretary of State. Form RDOM-1 is used for when a California insurance corporation has been approved by the CaliforniaInsurance Commissioner to redomesticate from California to a foreign jurisdiction.The redomestication of a California insurer may be effected ONLY if: (1) the laws of the foreign jurisdictionexpressly permit the redomestication of the California insurer; and (2) the redomesticating insurer complieswith any and all applicable California and foreign laws.Form RDOM-1 is required to be submitted with an amended certificate of authority approving theredomestication, issued by the California Insurance Commissioner.Before submitting the completed form, you should consult with a private attorney for advice about yourspecific business needs.Fees: Filing Fee: There is no fee for filing a Statement of Redomestication (Form RDOM-1).Faster Service Fee:Counter and guaranteed expedite services are available only for documents submitted in person (drop off) to ourSacramento office.-Counter Drop Off: A separate, non-refundable $15.00 counter drop off fee is required if you submit inperson your completed document at our Sacramento office. The $15.00 counter drop off fee providespriority service over documents submitted by mail. The drop off fee does not apply to mail submissions. Thespecial handling fee is not refundable whether the document is filed or rejected.-Guaranteed Expedite Drop Off: For more urgent submissions, documents can be processed within aguaranteed timeframe for a non-refundable fee in lieu of the counter drop off fee. For detailed informationabout this faster processing service through our Preclearance and Expedited Filing Services, go towww.sos.ca.gov/business/be/service-options.Copies: To get a copy of the filed document, include payment for copy fees when the document is submitted. Copy fees are $1.00 for the first page and $.50 for each attachment page. For certified copies, there is an additional $5.00 certification fee, per copy. Payment Type: Check(s) or money orders should be made payable to the Secretary of State. Do not send cash by mail. If submitting the document in person in our Sacramento office, payment also may be made by credit card (Visa or MasterCard). Processing Times: For current processing times, go to www.sos.ca.gov/business/be/processing-times. Type or legibly print in black or blue ink. Complete the Statement of Redomestication (Form RDOM-1) as follows: Item Instruction Tips 1. Enter the name of the corporation exactly as it appears on file with the California Secretary of State including the entity ending, if any (ex: 223ABC Corporation224 or 223Smith Construction Company224). To ensure you have the exact name of the corporation, lookto your registration document filed with the CaliforniaSecretary of State and any name change amendments. RDOM-1 - Instructions ( 01/2018) 2018 California Secretary of State bizfile.sos.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com 2. Enter the 7-digit Entity (File) Number issued to the corporation by the California Secretary of State at the time of registration. The 7-digit Entity (File) Number is provided by the Secretaryof State above the file stamp at the top of the corporation222sregistration document filed with the California Secretary ofState.Secretary of State Records can be accessed online throughour Business Search at BusinessSearch.sos.ca.gov. Whileusing the Business Search, be sure to identify yourcorporation correctly including the jurisdiction that matchesyour corporation. Active corporations, inactive corporationsand corporations from foreign jurisdictions registered with ouroffice may have the same or similar name. 3. This statement is required and may not be altered. 4. This statement is required and may not be altered. 5. This statement is required and may not be altered. The Secretary of State cannot file this Statement ofRedomestication unless an amended certificate of authorityapproving the redomestication, issued by the CaliforniaInsurance Commissioner, is attached to the Statement ofRedomestication. 6. Enter the name of the redomesticated entity that will be used in the foreign jurisdiction. 7. Enter the new state of domicile for the redomesticated entity. This is the state to which the insurer is redomesticating (thespecified state must match the jurisdiction on the includedamended certificate of authority issued by the California Insurance Commissioner). 8. Enter the name and address for the insurer222s agent for service of process in the foreign jurisdiction. An Agent for Service of Process is responsible for acceptinglegal documents (e.g. service of process, lawsuits, othertypes of legal notices, etc.) on behalf of the insurer.Do not enter the name and address of the insurer222s Californiaagent for service of process. Signature Sign and type or print the name of the person authorized to sign for the insurer. Do not use a computer-generated signature. If you need more space for signatures:-Place the additional signatures on only one side of astandard letter-sized piece of paper (8 1/2" x 11")clearly marked as an attachment to Form RDOM-1 andattach the extra page(s) to the completed Form RDOM-1.-All attachments are part of this document. RDOM-1 - Instructions ( 01/2018) 2018 California Secretary of State bizfile.sos.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com Mail Submission Cover Sheet (Optional): To make it easier to receive communication related to this document, including receipt of the copy of the filed document, complete the Mail Submission Cover Sheet. For the Return Address: enter the name of a designated person and/or company and the corresponding mailing address. Please note the Mail Submission Cover Sheet will be treated as correspondence and will not be made part of the filed document. Where to File: Completed forms along with the applicable fees, if any can be mailed to Secretary of State, Business Entities Filings Unit, P.O. Box 944260, Sacramento, CA 94244-2260 or delivered in person (drop off) to the Sacramento office, 1500 11th Street, 3rd Floor, Sacramento, CA 95814. This form is filed only in the Sacramento office. Legal Authority: Statutory filing requirements are found in California Corporations Code section 201.6 and California Insurance Code section 709.5. RDOM-1 - Instructions ( 01/2018) 2018 California Secretary of State bizfile.sos.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com Secretary of State RDOM-1 Statement of Redomestication (California Insurer Only) IMPORTANT 227 Read Instructions before completing this form. Must be submitted with a certificate of authority issued by the California Insurance Commissioner. See Instructions. There is No Fee for filing a Statement of Redomestication Copy Fees 226 First page $1.00; each attachment page $0.50; Certification Fee - $5.00 plus copy fees Above Space For Office Use Only Redomesticating Entity Information 1.Redomesticating Entity Name (Enter the exactcorporation name on file with the Secretary of State.)2. 7-Digit Secretary of State Entity (File) Number 3.The redomesticating insurer is authorized to carry out the redomestication under California law and thejurisdiction to which the insurer is redomesticating. 4.The redomesticating insurer has complied with the requirements to redomesticate as required by Californialaw and the jurisdiction to which the insurer is redomesticating. 5.The Insurance Commissioner has approved the redomestication of the insurer and a copy of the amendedcertificate of authority, evidencing the approval of the Insurance Commissioner, is attached to this statementof redomestication. Redomesticated Entity Information 6.Redomesticated (Foreign) Entity Name (Enter thename that the entity will use in the foreign jurisdiction.)7.Jurisdiction (Enter the new state of domicile.) 8.Name and street address in the foreign jurisdiction of the redomesticated insurer222s agent for serviceof process a.Agent222s Firs

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