Wyoming > Secretary Of State > Corporations > Processing Cooperative > Foreign
Application For Certificate Of Authority - Wyoming
| Application For 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 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. The name of the cooperative as formed is: _______________________________________________ 2. It is formed under the laws of: ________________________________________________________ 3. The date of its formation is: __________________________________________________________ and the period of its duration is: ______________________________________________________ 4. The address of its principal office is: ___________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 5. The mailing address where correspondence and annual report forms can be sent: ______________________________________________________________________________ ______________________________________________________________________________ 6. The physical address of its registered office in Wyoming and the name of its registered agent at that address is: _______________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (The agent must be an individual resident of Wyoming, a domestic corporation or not-for-profit domestic corporation or a foreign corporation or not-for-profit foreign corporation authorized to transact business in this state.)<<<<<<<<<********>>>>>>>>>>>>> 27. The name and usual business addresses of its current directors and officers: Office Name Address President ______________________________________________________________________ Vice-President __________________________________________________________________ Secretary ______________________________________________________________________ Treasurer ______________________________________________________________________ Director _______________________________________________________________________ Director _______________________________________________________________________ Director _______________________________________________________________________ 8. An estimate, expressed in dollars, of the value of the property of the cooperative located and employed in the state of Wyoming: $________________. 9. State the date this cooperative began doing business in Wyoming or the date it will begin to do business in Wyoming: ______________________________________ 10. 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: $100.00 Instructions: 1. The completed application must be accompanied by an original certificate of existence/good standing or a document of similar import, dated not more than sixty (60) days prior to filing in Wyoming. 2. The application must be accompanied by a written consent to appointment executed by the registered agent. 3. The document shall be accompanied by one (1) exact or photo copy. pcop-cofa - Revised: 9/2003
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