Free - West Virginia

Natalie E. Tennant Secretary of State State Capitol Bldg. 1900 Kanawha Blvd. East Charleston, WV 25305 FILE ONE ORIGINAL APPLICATION And one original copy of the declaration, articles or agreement of trust creating the business trust)

Penney Barker, Manager Corporations Division Tel. (304) 558-8000 Fax 304-558-8381 Hrs. 8:30am ­ 5:00pm ET www.wvsos.com

APPLICATION FOR BUSINESS TRUST
FEE: $50

1. 2.

The name of the business trust is: Check and complete the appropriate organizational information: It is organized under the laws of West Virginia. It is organized under the laws of: on the following date:

3.

Name and address to whom Notice of Process may be sent:
Name

Street/Box

City/State/Zip

4.

Address of the Business Trust's principal office:

Street/Box

City/State/Zip

5.

Purpose for which the Business Trust is formed:
Email address (if any)

6.

Name and address of all trustees having authority to act on behalf of the business trust: (attach additional pages if necessary)

Name

Address

City, State, Zip

Name

Address

City, State, Zip

7.

Read and check the following box:
The business trust hereby consents to the recognition of the application to the business trust of the laws of this state with respect to corporations.

8.

Signatures: Application must be signed by a trustee of the business trust who has signature authority

Signature
RESET

Date

CHARITABLE REGISTRATION: If your company receives contributions, donations or grants, registration as a charitable organization may be

required. Contact our office for more information or visit
BT-1

www.wvsos.com
Revised 1/09

Issued by the Secretary of State, State Capitol, Charleston, WV 25305