Free Domestication Articles - Wyoming

Wyoming Secretary of State
State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: [email protected]

For Office Use Only

Foreign Profit Corporation Articles of Domestication
Pursuant to W.S. 17-16-1702 of the Wyoming Business Corporation Act, the undersigned hereby applies for a Certificate of Domestication and for that purpose hereby submits Articles of Domestication. 1. Corporation name:

2. Incorporated under the laws of:
(State or country of incorporation)

3. Date of incorporation:
(Date ­ mm/dd/yyyy)

4. Period of duration:
(This is referring to the length of time the corporation intends to exist and not the length of time it has been in existence. The most common term used is "perpetual." You may refer to your Articles of Incorporation or contact the Corporations Division in your state of incorporation for your period of duration.)

5. Address of its principal office in the state under the laws of which it is incorporated:

6. Mailing address of the corporation:

7. Name and physical address of its registered agent:
(The registered agent may be an individual resident in Wyoming, a domestic corporation, or foreign corporation authorized to transact business in Wyoming, having a business office identical with such registered office. The registered agent must have a physical address in Wyoming. A Post Office Box or Drop Box is not acceptable. If the registered office includes a suite number, it must be included in the registered office address.)

8. Purpose or purposes of the corporation which it proposes to pursue in the transaction of business in Wyoming:

9. Names and usual business addresses of its current officers and directors: Office President Vice President Secretary Treasurer Director Director Director 10. The aggregate number of shares or other ownership units which it has the authority to issue, itemized by classes, par value of shares, shares without par value and series, if any, within a class:
Number of Shares Class Series Par Value per Share

Name

Address

11. The aggregate number of issued shares or other ownership units itemized by classes, par value of shares, shares without par value and series, if any, within a class:
Number of Shares Class Series Par Value per Share

12. The corporation accepts the constitution of the state of Wyoming in compliance with the requirement of Article 10, Section 5 of the Wyoming Constitution. Date:
(mm/dd/yyyy)

Signature: ___________________________________________ Print Name: Title:

Contact Person: Daytime Phone Number:
Checklist Filing Fee: $100.00 Make check or money order payable to Wyoming Secretary of State. The application shall be executed by the Chairman of the Board, President or another of its officers. The Articles of Domestication must be accompanied by a written consent to appointment executed by the registered agent. For consistency the Secretary of State's Office will only keep one version of the agent's name on file. A certified copy of its original articles of incorporation and all amendments currently certified within the last six (6) months by the proper officer of the state or nation of formation. A certificate of good standing not more than thirty (30) days old. Please submit one originally signed document and one exact photocopy of the filing. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents.
FP-ArticlesDomestication - Revised 12/2008

Wyoming Secretary of State
State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: [email protected]

Consent to Appointment By Registered Agent
I,
(name of registered agent)

, registered office located at

(registered office address, city, state & zip)

voluntarily consent to serve as the registered agent for

(name of business entity)

on the date shown below.

I hereby certify that I am in compliance with the requirements of W.S. 17-28-101 through W.S. 17-28-111.

Signature:__________________________________________
(Shall be executed by the registered agent.)

Date:
(mm/dd/yyyy)

Print Name: Title:

Contact Person: Daytime Phone: Email:

Checklist Submit one originally signed consent to appointment and one exact photocopy.

RAConsent ­ Revised 06/16/2009