Free I0002 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, JACKSON, MS 39... - Mississippi

I0002

OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633

*I0002*

Instructions for Application for Certificate of Authority

Our forms have been designed to be scanned by computer equipment. There are several simple rules to follow in completing this form to ensure that the form, when completed, can be processed correctly. 1. The areas marked (the computer barcode area and the right margin) are reserved areas. Make no marks or notations in these areas. 2. The form contains alignment marks ( ) for your typewriter. 1 The alignment marks are in the left margin of the form on each line, indicated by . Align your typewriter to print an upper case X directly on this ` ` symbol. Then normal typing, spacing, and line 3 indexing will automatically 2 position your typewriter within 4 the typeable areas on the form. Please use a new black ribbon Sample Text Entry On Form when completing the form. 3. Typeable areas, which are the boxes (like the box indicated by ), are the only places where you should be making any marks. With the exception of areas reserved for signatures, all information provided should be typewritten in these boxes or printed in black ink. Signatures should always be completely contained within the boundaries of the box set aside for the signature. 4. If the information is correctly entered onto the form, it should look like the text entered at . 5. Where a choice needs to be indicated, please make your selection by entering an upper case `X' in the box to the left of the selection you want to make. 6. Enter numeric information without commas. Three thousand, for example, should be entered as `3000' not `3,000'. 7. All dates must be entered in the MM/DD/YYYY format, that is, using the 4 digit year. For example, January 4th, 1997 should be entered as `1/4/1997'. Although not required, a leading zero in the month and day is acceptable (like `01/04/1997'). 8. In order to ensure mail is deliverable, do not combine post office box numbers and Street Address in one box. Please enter the actual physical street location in the box labeled Physical Address, and/or post office box numbers in the boxes labeled P.O. Box. Where necessary, use directional indicators (like `123 W Main St' instead of `123 Main St'). It is not necessary to enter the text `PO BOX' when specifying a P.O. Box. Our system will supply this text automatically. 9. States must be entered as the two character approved US Post Office state code. For example, Mississippi should be entered as `MS' without periods, not `Miss.', or using other abbreviations. 10. Boxes set aside for ZIP codes contain enough space to enter both five digit and four digit ZIP code values, separated by a dash. Please ensure the five digit ZIP is entered to the left of the dash, and the four digit zip is to the right of the dash. 11. The following rules apply to the data entry areas on the form. Type of Corporation - Check the appropriate box to indicate the type of corporation. Name of Corporation - Enter the Corporation name, up to 60 characters per line for a maximum of two lines. Profit corporation names must contain the word "Corporation", "Incorporated", "Company", or "Limited", or the abbreviation "Corp.", "Inc.", "Co.", or "Ltd". This does not apply to nonprofit corporations. Future Effective Date - The filing will be effective as of the actual date filed, unless this date is filled in. Note that this date must be in the future. This date is not to exceed 90 days from the date of filing of this form. State or Country of Incorporation - For Foreign Corporations Only. Indicate the State or Country where the corporation is incorporated.

Rev. 03/96

I0002

OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633

*I0002*

Instructions for Application for Certificate of Authority

Street Address of Corporation - Enter the Corporation street address. Do not exceed 45 characters per address line, 20 characters for city, 2 characters for state, and 9 digits for zip code. Date of Incorporation - Enter the Date of Incorporation and its duration. Name and Address of Registered Agent - The name and street address of the Registered Agent. Limit the name of the agent to 40 characters. Do not exceed 45 characters per address line, 20 characters for city, 2 characters for state, and 9 digits for zip code. The Registered Agent must be an individual who resides in Mississippi, a domestic corporation, domestic not-for-profit corporation, a foreign corporation, or a foreign not-for-profit corporation authorized to do business in the State of Mississippi. Officers - Enter the name, business address, and title of each officer. Limit the name to 40 characters. Do not exceed 45 characters per address line, 20 characters for city, 2 characters for state, and 9 digits for zip code. Directors - Enter the name and business address of each director. Limit the name of the officer to 40 characters. Do not exceed 45 characters per address line, 20 characters for city, 2 characters for state, and 9 digits for zip code. Members - For Non-Profit corporations, indicate whether there are members or not by checking only one box. Name in Mississippi - Fill in the name under which the entity will do business in Mississippi. Limit the name to 2 lines of 60 characters. This can only be used if the real corporate name is not available for use in Mississippi. Title - Enter the official title of the person. Keep all signatures within the blocks allocated for them. This document must be signed by the chairman of the board, the president, or another of the officers of the corporation. Enclose original Certificate of Existence with this application. The certificate must be issued within 6 months of this application. For a non-profit corporation, the Certificate of Existence must be dated not more than 60 days prior to the date this application is filed. Enclose the filing fee, payable to the Secretary of State, with this document. Profit:$500, Non-Profit:$100.

Thank you for your assistance. Please call us at the above number if there are any questions.

Rev. 03/96