APPLICATION FOR FOREIGN NONPROFIT CORPORATION SEEKING AUTHORIZATION TO DO BUSINESS IN ARKANSAS
(PLEASE TYPE OR PRINT CLEARLY IN INK)
Pursuant to Act 1147 of 1993, the undersigned Foreign Nonprofit Corporation submits the following: 1a. The name of the corporation is: ___________________________________________________________________ 1b. If the corporation is doing business in this state under another name, please state: ___________________________ _____________________________________________________________________________________________ 2. The state, territory, or foreign country under whose laws the corporation was incorporated is: ___________________ _____________________________________________________________________________________________ 3. The date of incorporation 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 addresses of the corporation's current directors are:
8. Check the box if the corporation has members.
9. Had this corporation been incorporated in Arkansas, check the appropriate box to indicate what type of corporation it would have been: (A.C.A. 4-32-1707)
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and /or imprisonment up to 30 days. Executed this ___________ day of _____________, __________________. _____________________________________________________
Signature of Presiding Director or Officer
Presiding Director or Officer (Type or Print)
An original certificate of existence form the state of origin, dated in the past 30 days, must accompany the application.
$300.00 Filing Fee payable to Arkansas Secretary of State
Annual Report Contact Information Nonprofit
PLEASE TYPE OR PRINT CLEARLY IN INK
JURISDICTION (SELECT ONE)
In order for this entity to receive its annual reporting form, please complete and file with the Office of the Secretary of State at the time of filing.
Entity name as used in Arkansas
Street Address or Post Office Box Number
City, State Zip
NOTE: Annual Reports will be due on or before August 1st the year following filing or qualification in this state.
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Executed this ___________ day of _____________, __________________.
Authorized Officer (Type or Print)