Corporation Change Application {RE 204A}

RE 204A, CORPORATION CHANGE APPLICATION, If the new designated officer does not currently have an officer license for this corporation, a Corporation License Application (RE 201) must be submitted in addition to this form. Corporation Background Statement (RE 212) – Commissioner's Regulation 2746 requires the designated officer who obtains the original corporation license to file an RE 212 for any director, chief executive officer, president, first level vice presidents, secretary, chief financial officer and subordinate officers with responsibility for forming policy of the corporation and all natural persons owning or controlling more than ten percent of its shares, IF such a person has been subject of any of the items enumerated in the regulation. If none of the officers have been a subject of any of the items enumerated in the regulation, then an RE 212 is not needed. In all instances, the broker-officer must complete and sign the certification on page 2 of this application. www.FormsWorkflow.com