Free 51575.pdf - Indiana

ARTICLES OF DOMESTICATION
Domestication of a Foreign Corporation into an Indiana Corporation
State Form 51575 (1-04) Approved by State Board of Accounts, 2004 INSTRUCTIONS: Use 8 ½" x 11" white paper for attachments. Present original and one copy to the address in upper right corner of this form. Please TYPE or PRINT. Please visit our office on the web at www.sos.in.gov.

TODD ROKITA SECRETARY OF STATE CORPORATE DIVISION 302 W. Washington Street, Rm. E018 Indianapolis, IN 46204 Telephone: (317) 232-6576

Indiana Code 23-1-18-3

FILING FEE: $30.00

ARTICLES OF DOMESTICATION
The undersigned, desiring to domesticate a foreign corporation (herein referred to as "Corporation") within the State of Indiana pursuant to the provisions of Indiana Code 23-1-38.5-4, et. seq., executes the following Articles of Domestication:

ARTICLE I: NAME AND JURISDICTION OF CORPORATION
SECTION 1: a. CORPORATE NAME

The following is the name of Corporation immediately before filing these Articles of Domestication: ___________________________________________________________________________________________________________________

b.

If the corporate name given above is unavailable in Indiana or if Corporation wishes to change its name, the new name of the corporation will be the following : ___________________________________________________________________________________________________________________

·

(Please note that pursuant to Indiana Code 23-1-23-1(a), this name must include the word "incorporated", "company", or "limited", or the abbreviation "corp.", "inc.", "co.", or "ltd.", or words or abbreviations of like import in another language.) JURISDICTION

SECTION 2: a.

The following is the jurisdiction in which Corporation was incorporated immediately before filing these Articles of Domestication: ___________________________________________________________________________________________________________________

b.

Please read and sign the following statement: I hereby affirm under the penalty of perjury that, to the best of my knowledge, the domestication of Corporation in Indiana was duly authorized as required by the laws of the above-stated jurisdiction. Printed Name Title

Signature

ARTICLE II: REGISTERED OFFICE AND AGENT
Registered Agent: The name and street address of Corporation's Registered Agent and Registered Office for service of process are as follows:
Name of Registered Agent

Address of Registered Office (street or building only, no PO

City

Zip Code

Indiana
ARTICLE III: AUTHORIZED SHARES
a. b. Please state the number of shares Corporation is authorized to issue: ___________________________________________________________ If there is more than one class of shares or shares with rights and preferences, please list such information as "Exhibit A" and attach herewith.

ARTICLE IV: PLAN OF DOMESTICATION
Please set forth the Plan of Domestication, containing such information as required by Indiana Code 23-1-38.5-4(c), attach herewith, and designate it as "Exhibit B."

ARTICLE V: INCORPORATORS
The names and addresses of the incorporators of Corporation are as follows:

NAME

NUMBER AND STREET OR BUILDING

CITY

STATE

ZIP CODE

In Witness Whereof, the undersigned being an officer or other duly authorized representative executes these Articles of Domestication and verifies, subject to penalties of perjury, that the statements contained herein are true, this ______________ day of ______________________________, 20_______.
Signature Printed Name Title