Arkansas Secre t a ry of State
State Capitol · Little Rock, Arkansas 72201-1094 501-682-3409 · www.sos.arkansas.gov
Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock
APPLICATION FOR FOREIGN COOPERATIVE SEEKING AUTHORIZATION TO DO BUSINESS IN ARKANSAS
Pursuant to Act 342 of 1937, the undersigned Foreign Cooperative submits the following: 1. The name of the cooperative is: _________________________________________________ 1b. If the cooperative is doing business in this state under another name, please state: ______ ___________________________________________________________________________ 2. The state, territory, or foreign country under whose laws the cooperative was formed is: ___________________________________________________________________________ 3. The date of formation is: __________________________________________________ 4. The period of duration is: ____________________________________________________ 5. The street address of its principal office or place of business is: _____________________ ___________________________________________________________________________ 6. The name and street address of its registered agent for service of process in Arkansas is: ___________________________________________________________________________ 7. The names and business addresses of the cooperative's current directors and officers are:
8. Check the box if the cooperative has members.
Presiding Director or Officer
An original certified copy of the file from the state of origin, dated within the past six months, should accompany the application.
Fee: $300.00 payable to Arkansas Secretary of State Rev. 4/06