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Foreign Nonstock Corporation Certificate Of Authority Application 121 - Wisconsin
| Foreign Nonstock Corporation Certificate Of Authority Application Form. This is a Wisconsin form and can be used in Nonstock Corporation Secretary Of State . |
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Sec. 181.1503 Wis. Stats. State of Wisconsin DEPARTMENT OF FINANCIAL INSTITUTIONS Division of Corporate & Consumer Services FOREIGN NONSTOCK CORPORATION CERTIFICATE OF AUTHORITY APPLICATION 1. ORIGINAL certificate Name of corporation 2. State or Country of Incorporation A OR 1. (Indicate (X) if the application is for an ORIGINAL or an AMENDED certificate. 2. State or Country of Incorporation AMENDED certificate (If changed, enter the new corporate name or new state or country of incorporation. Also, set forth in section A above, the name under which the corporation is presently licensed in Wisconsin, and complete all other items, except item 8. Name of corporation B 3. Address of Principal Office 4. Date of Incorporation 5. Period of Duration Perpetual yes no 6. Name of Registered Agent in Wisconsin 7. Street Address of Registered Office in Wisconsin DFI/CORP/121(R07/26/12) Use of this form is mandatory. 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com 8. Has the corporation transacted business in Wisconsin after December 31, 1998 without holding a Certificate of Authority? No Yes If "Yes", complete supplement on page 4. 9. Names and Usual Business Addresses of Officers (may be scheduled) Title CEO. Pres. V-P Secy Treas. Name Address Street, City, State & Zip Code 10. Names and Usual Business Addresses of Directors (may be scheduled). If the corporation has no directors, enter "None". Title Chair. Dir. Dir. Dir. Name Address Street, City, State & Zip Code Select and remit the appropriate FILING FEE from one of the columns below: ORIGINAL ORIGINAL AMENDED The corporation is organized without capital stock Certificate Certificate Certificate and under Suppl. 12. 11. Complete the following statement by marking (X) in the appropriate area has members. does not have members. $ 45.00 $ From Suppl. on page 4 $ 30.00 DFI/CORP/121 (R07/26/12) 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com 13. (Signator's printed name) Executed on (Date) (Officer's title) NOTE: Every application must be accompanied by a current CERTIFICATE OF STATUS. INSTRUCTIONS (Ref. sec. 181.1503 or 181.1504, Wis. Stats. for document content) Submit one original and one exact copy along with the required filing fee (from Item 12) and a current Certificate of Status to the address listed below. Make checks payable to the "Department of Financial Institutions". Filing fee is non-refundable. Sign the document manually or otherwise as allowed under Sec. 181.0103(23) Wis. Stats. Mailing Address: Department of Financial Institutions Division of Corporate & Consumer Services P O Box 7846 Madison WI 53707-7846 Physical Address for Express Mail: Department of Financial Institutions Division of Corporate & Consumer Services 345 W. Washington Ave 3rd Fl. Madison WI 53703 Phone: 608-261-7577 FAX: 608-267-6813 TTY: 608-266-8818 (Officer's signature) NOTICE: This form may be used to accomplish a filing required or permitted by statute to be made with the department. Information requested may be used for secondary purposes. This document can be made available in alternate formats upon request to qualifying individuals with disabilities. . This application is appropriate for use by a foreign non-stock corporation, including a non-profit corporation. Foreign business corporations apply on Form 21 (Foreign Business Corporation Certificate of Authority Application). 1 & 2 A For an ORIGINAL certificate of authority, complete items A 1 and A 2 and items 3 thru 13. If the corporation has transacted business in Wisconsin without holding a certificate of authority, also complete supplement on page 4. Respond to all items. 1 & 2 B. For an AMENDED certificate of authority, complete items B 1 and B 2, 3 through 7, and 9 through 13. Respond to all items. Supplement is not required. The certificate of status must be issued under the new name of the corporation. A certified copy of the charter documents is not an acceptable substitute. 2, 3 & 4. Enter the state or country under whose laws the corporation is organized, the address of the corporation's principal office, and the date of incorporation. 5. Enter the corporation's period of duration, if not perpetual. If the corporation has perpetual existence, so indicate. 6 & 7. The corporation must continuously maintain a registered agent and registered office within Wisconsin. The requirement is statutory. Failure to maintain an agent and office may set grounds for revocation of the corporation's certificate of authority. Annual report forms, notices and other official communications are directed to the corporation's registered agent, so it is important to keep this information current. Request Form 13 (Registered Agent and/or Registered Office Change) to make a change of registered agent or registered office. DFI/CORP/121I(R07/26/12) 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com FOREIGN NONSTOCK CORPORATION CERTIFICATE OF AUTHORITY APPLICATION Enter your return address within the brackets above. Phone number during the day: ( INSTRUCTIONS (Continued) ) ______ -____________ 8. Indicate if the corporation has, or has not, transacted business in Wisconsin after December 31, 1998 without holding a certificate of authority. 9 & 10. Provide the name and address of each of the corporation's officers and directors. If the corporation has no directors, indicate "None" in item 10. 11. Indicate if the corporation has members or does not have members. 12. Determine the filing fee appropriate to an application for an original certificate, an original certificate under the Supplement, or for an amended certificate. 13. The application is to be executed by an officer of the corporation. Print or type the name and title of the officer signing the application and the date it was signed. Every application must be accompanied by a current CERTIFICATE OF STATUS, issued by the Secretary of State (or other official having custody of corporate records), under whose laws it is incorporated, attesting to the existence and status of the corporation. The certificate must be issued not more than 60 days prior to the delivery of this application. SUPPLEMENT Basic qualification fee PLUS back annual report fees (Each calendar year X $15) $ $ 45.00 PLUS a penalty of $50 for each year or portion of a year, after December 31, 1998, during which the corporation transacted business without a certificate of authority, but not more than $500 $ TOTAL FILING FEE (post to item 12) $ DFI/CORP/121I(R07/26/12)
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