BIZNP

NOTE: This form must be completed in its entirety in order for your business to be properly registered. Amending information already registered requires an additional fee based on our hourly fee of $200 per hour. It is better to provide too much information than too little!

Your Name:

Addr1:

Addr2:

City: State: Zip:

Daytime Phone Number: Email Address:

Name(s) of other owner(s)
Please separate names by commas

What is the name of the entity? (The name must end with "Company," " Co. ," "Incorporated," or "Inc.")
What is the purpose of the Non-profit Corporation? (This should be a description of the service or product that you intend to provide. However, to be tax-exempt as an organization described in IRC Section 501(c)(3) of the Code, an organization must be organized and operated exclusively for one or more of the purposes set forth in IRC Section 501(c)(3): religious, charitable, scientific, testing for public safety, literary, or educational purposes, or to foster national or international amateur sports competition if no part of its activities involve the provision of athletic facilities or equipment, or for the prevention of cruelty to children or animals, and none of the earnings of the organization may inure to any private shareholder or individual. In addition, it may not attempt to influence legislation as a substantial part of its activities and it may not participate at all in campaign activity for or against political candidates.)
Principal office address? (Must be in the state of registration and cannot be a P.O. Box.)
Addr1:

Addr2:

City: State: Zip:
Name and address of Resident Agent? (Must be person (18 years of older) or a company located in the state of registration. The Resident Agent is the person who receives service of process if your company is sued. The Resident Agent can be one of the owners of the company if that person is residing in the state).
Resident Agent:

Addr1:

Addr2:

City: State: Zip:
What are the initial capital contributions?

How many initial Board members will the Corporation have and who are they? (Unless there is only one shareholder, should have at least 3 Board members; should be odd number to prevent deadlock.)

Board Member:

Who are the initial officers and what are their titles? (Usually President, Vice President, Secretary, and Treasurer. One person can have more than one role, except that the President cannot also be a Vice President.)

Title:	Name:
Title:	Name:
Title:	Name:
Title:	Name:

Compensation of Officers? (This is not usually specified so that the company has freedom to determine later.)
Yes No

Additional Comments