Wyoming > Secretary Of State > Corporations > Processing Cooperative > Foreign
Application For Amended Certificate Of Authority - Wyoming
| Application For Amended Certificate Of Authority Form. This is a Wyoming form and can be used in Foreign Processing Cooperative Corporations Secretary Of State . |
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APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY PROCESSING COOPERATIVE Wyoming Secretary of State Phone (307) 777-7311/7312The Capitol Building, Room 110 Fax (307) 777-5339200 W. 24th Street E-mail: corporations@state.wy.usCheyenne, WY 82002-0020 1. A Certificate of Authority was issued to the cooperative by your office on _____________________, __________, authorizing it to transact business in your state and is presently registered under the name of: ______________________________________________________________________________ 2. The name of the cooperative has been changed to: ________________________________________ ______________________________________________________________________________ 3. The state or country of formation has been changed to: ______________________________________ 4. It is formed under the laws of: ________________________________________________________ 5. (a) The date of its formation is: ________________________________________________________ (b) The period of its duration is: ________________________________________________________ 6. The address of its principal office is: ____________________________________________________ ______________________________________________________________________________ 7. The mailing address where correspondence and annual report forms can be sent: __________________ ______________________________________________________________________________ 8. The physical address of its registered office in Wyoming and the name of its registered agent at that address is: ______________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ <<<<<<<<<********>>>>>>>>>>>>> 29. The names and usual business addresses of its current officers and directors: Office Name Address President _______________________________________________________________________ Vice President ___________________________________________________________________ Secretary _______________________________________________________________________ Treasurer _______________________________________________________________________ Director ________________________________________________________________________ Director _________________________________________________________________________ Director _______________________________________________________________________ 10. An estimate, expressed in dollars, of the value of the property of the cooperative located and employed in the state of Wyoming: $ . 11. The cooperative accepts the constitution of the state of Wyoming in compliance with the requirement of article 10, section 5, of the Wyoming constitution. Date: __________________________ Signed: _________________________________________ Title: ___________________________________________ (May be executed by Chairman of Board, President or another of its officers) Contact Person: ____________________________________________ Daytime Phone Number: ____________________________________ For name availability purposes list the type of business the cooperative will be conducting:_____________________________________________________________________________________ ************************************************************************************ Filing Fee: $50.00 Instructions: 1. The completed application must be accompanied by an original CERTIFICATE OF EVIDENCE of the amendment dated not more than sixty (60) days prior to filing in Wyoming. If the amendment involves a name change, the certificate must state the previous name and the new name along with the date of the amendment. 2. The application shall be accompanied by one (1) exact or photo copy. pcop-amcofa - Revised: 9/2003
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