--Part A

First name Last    Title: Mr Ms. Mrs. Dr. ---

Telephone:         Email:

Name of Corporation (this will be corporation's name)

Corporation Physical Address (no p. o. box): 

Number and Street  

Corporation City   Corporation State or Territory Zip Code

---Part B

Name of Registered Agent (person representing the corporation for this filing and related activities. ). Also referred to as "resident agent."

First Name:       Last Name:

Registered Agent's Address: Number and Street   City:   

State              Zip

--Part C

Corporation Mailing Address: Checkbox if same as corp physical address and go to skip to next section

Street or P. O. Box: 

City        State              Zip

--Part D

Duration of corporation? (if corporation is to be established for a limited time please state here. Otherwise leave blank) 

Is the corporation a nonprofit charitable organization (such as a school, place of worship, dedicated to scientific research, or strictly for charity)? If so, check the box. If not go to next question  

Will the corporation issue stock (if no go to next item below)?   If yes, number of stock: If no stock issued at this time, go to next item.

Will the corporation be a membership organization (this is usually for nonprofit organizations or groups such as labor unions, alumni groups and other membership groups)? If yes, check box, if not go to Part E.

--Part E

Name and address of each person incorporating. This can be only one person and it can be same as registered agent above.  

Incorporator 1

First Name:       Last Name:

Registered Agent's Address: Number and Street   City:   

State              Zip

Incorporator 2

First Name:       Last Name:

Registered Agent's Address: Number and Street   City:   

State              Zip

Incorporator 3

First Name:       Last Name:

Registered Agent's Address: Number and Street   City:   

State              Zip

--Part F

Brief description of the corporation's business activities

Do you need additional space (such as names of  additional incorporators)?  Do so here:

When finished, please click the submit button. Have a question? Email us at assistance@corpunder10.com