APPLICATION FOR REGISTRATION OF LIMITED COOPERATIVE ASSOCIATION NAME
FOREIGN LIMITED COOPERATIVE ASSOCIATIONS ONLY
Submit in Duplicate John A. Gale, Secretary of State Room 1301 State Capitol, P.O. Box 94608 Lincoln, NE 68509 http://www.sos.state.ne.us
Attach a certificate of existence or authorization from the state or country of organization executed by the official having custody of such records.
Name of Limited Cooperative Association ____________________________________ ______________________________________________________________________ Organized under the laws of _____________________________________________
Date of Organization ____________________________________________________ Nature of affairs in which association is engaged ______________________________ _____________________________________________________________________ Registration is good for 120 days.
DATED_________________________
______________________________
Signature of Officer or Authorized Representative
______________________________
Printed Name and Title
FILING FEE: For Profit $35.00 plus $5.00 per page for any additional pages Not for Profit $35.00 plus $5.00 per page for any additional pages
1/1/2008 Neb. Rev. Stat. 21-2908