Annual List Of Officers Directors And Resident Agent Of Nonprofit Corporation | Pdf Fpdf Doc Docx | Nevada

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Annual List Of Officers Directors And Resident Agent Of Nonprofit Corporation | Pdf Fpdf Doc Docx | Nevada

Annual List Of Officers Directors And Resident Agent Of Nonprofit Corporation

This is a Nevada form that can be used for Corporation within Secretary Of State.

Alternate TextLast updated: 10/4/2011

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(NONPROFIT) ANNUAL LIST OF OFFICERS, DIRECTORS AND REGISTERED AGENT OF NAME OF CORPORATION FOR THE FILING PERIOD OF TO FILE NUMBER *110203* *110203* The entity's duly appointed registered agent in the State of Nevada upon whom process can be served is: A FORM TO CHANGE REGISTERED AGENT INFORMATION CAN BE FOUND ON OUR WEBSITE: www.nvsos.gov USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY Return one file stamped copy. (If filing not accompanied by order instructions, file stamped copy will be sent to registered agent.) **YOU MAY NOW FILE YOUR ANNUAL LIST ONLINE AT www.nvsos.gov** IMPORTANT: Read instructions before completing and returning this form. 1. Print or type names and addresses, either residence or business, for all officers and directors. A President, Secretary, Treasurer, or equivalent of and all Directors must be named. There must be at least one director. An Officer must sign the form. FORM WILL BE RETURNED IF UNSIGNED. 2. If there are additional officers, attach a list of them to this form. 3. Return the completed form with the $25.00 filing fee, if no capitalization. A $50.00 penalty must be added for failure to file this form by the deadline. An annual list received more than 90 days before its due date shall be deemed an amended list for the previous year. 4. Nonprofit entities formed under NRS Chapters 80 and 81 without 501(c) nonprofit designation are required to maintain a state business license. Those with 501(c) designation must indicate by checking box below. For those requiring a State Business License, the fee is $200.00. 5. Make your check payable to the Secretary of State. Your canceled check will constitute a certificate to transact business. 6. Ordering Copies: If requested above, one file stamped copy will be returned at no additional charge. To receive a certified copy, enclose an additional $30.00 per certification. A copy fee of $2.00 per page is required for each additional copy generated when ordering 2 or more file stamped or certified copies. Appropriate instructions must accompany your order. 7. Return the completed form to: Secretary of State, 202 North Carson Street, Carson City, Nevada 89701-4201, (775) 684-5708. 8. Form must be in the possession of the Secretary of State on or before the last day of the month in which it is due. (Postmark date is not accepted as receipt date.) Forms received after due date will be returned for additional fees and penalties. FILING FEE: $25.00 (IF NO CAPITALIZATION) LATE PENALTY: $50.00 For NRS Chapter 80 and 81 nonprofit corporations: Pursuant to NRS Chapter 76, this entity is a 501(c) nonprofit entity and is exempt from the business license fee. NOTE: If claiming an exemption, a notarized Declaration of Eligibility form must be attached. Failure to attach the Declaration of Eligibility form will result in rejection, which could result in late fees. NAME TITLE(S) Exemption code 002 PRESIDENT (OR EQUIVALENT OF) ADDRESS CITY STATE ZIP CODE NAME TITLE(S) SECRETARY (OR EQUIVALENT OF) ADDRESS CITY STATE ZIP CODE NAME TITLE(S) TREASURER (OR EQUIVALENT OF) ADDRESS CITY STATE ZIP CODE NAME TITLE(S) DIRECTOR ADDRESS CITY STATE ZIP CODE I declare, to the best of my knowledge under penalty of perjury, that the above mentioned entity has complied with the provisions of NRS Chapter 76 and acknowledge that pursuant to NRS 239.330, it is a category C felony to knowingly offer any false or forged instrument for filing in the Office of the Secretary of State. Title Date X Signature of Officer Nevada Secretary of State Annual List Nonprofit Revised: 7-5-11 American LegalNet, Inc. www.FormsWorkFlow.com

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