PDF document

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!
State of Rhode Island This legal document
Department of State - Business Services Division should be typed.
All illegible
documents
Instructions for Filing will be REJECTED.
Application for Certificate of Authority by a Foreign Business Corporation
Section 7-1.2-1405 of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision.
This form and the information provided are not substitutes for the advice and services of an attorney and/or tax specialist.
All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety of methods including,
without limitations, inspections at our office, telephone inquiries and electronically through our online database.

How to complete the form:
1. State the name of the corporation. It must match the 8. Complete sections 8a and 8b in the following manner:
name on your Certificate of Good Standing/Letter of a. List the names and addresses of directors (optional,
Status from the state or country of formation, which must unless directors are required in the state of
be attached to this form. formation).
2. State the state or country under whose laws the
corporation was incorporated. b. List the name and addresses of principal officers
(mandatory if you did not fill out section 8a).
3. Complete section 3 IFthe name on Line 1 needs to be
modified to be used in Rhode Island. Your entity name 9. State the number of shares the corporation has the
must be distinguishable from any name on file in this authority to issue, itemized by class and series, if
office. You may check name availability on our website; applicable. All corporations have authorized shares. If
however, this does not ensure the name will still be you are unsure of the corporation’s number of authorized
available upon filing. shares, contact the state in which the corporation was
a. Complete 3a, if the original name does not include formed.
“corporation,” “company,” “incorporated,” “limited,” or 10. State the percentage of the corporation’s property to be
one of these abbreviations: “inc.,” “co.,” “corp.,” or located in Rhode Island (obtained from worksheet).
“ltd.”
11. State the percentage of the corporation’s total business
b. Complete 3b, if after an initial name availability that will be conducted in Rhode Island (obtained from
check through the Corporate Database on our worksheet).
website or by phoning our office, the original name 12. A Certificate of Good Standing/Letter of Status from the
is unavailable for use in Rhode Island. A Fictitious state or country of formation dated within 60 days of the
Business Name Statement, Form 624A, must date of this filing must accompany this application.
be filed and submitted with this application. The
13. Check “Date received” unless you prefer that the
Fictitious Business Name Statement has a $50 filing
Application go into effect at a later date than when it is
fee.
received in this office. Any later date must be within 90
4. State the date of incorporation in the state or country of days of filing.
formation. Check the appropriate box for the duration of 14. An Authorized Officer MUST sign and date the form.
the corporation. Check “date certain for dissolution” only
if there is a designated dissolution date in the state or
country of formation, otherwise, check “perpetual.” How to complete the worksheet:
5. State the principal place of business for the This section is to be completed to obtain the percentages
corporation. required in sections 10 and 11 on the form.

6. State the name of the registered agent. The registered 1. Complete sections 1a, 1b and 1c in the folowing manner:
agent is an individual or entity that will accept all legal
a. State the estimated value of ALL property owned by
service for this entity. The agent must be a Rhode Island
the corporation, regardless of its location.
resident or entity qualified to do business in this state.
A Rhode Island street address is required, NOT a P.O. b. State the estimated value of the property owned by
Box. In addition to all legal service of process, other the corporation that will be located in Rhode Island.
important correspondence from the state will be sent to
this address. c. Estimate the percentage of the corporation’s
7. State the specific purpose(s) for transacting business in property to be located in Rhode Island.
Rhode Island.
FORM 150- Revised: 12/2023

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!
State of Rhode Island This legal document
Department of State - Business Services Division should be typed.
All illegible
documents
Instructions for Filing (continued) will be REJECTED.
Application for Certificate of Authority by a Foreign Business Corporation
Section 7-1.2-1405 of the General Laws of Rhode Island, 1956, as amended.

How to complete the worksheet (continued):
2. Complete sections 2a, 2b and 2c in the following maner: Your entity may also be required to report (and update, if
a. Estimate the gross amount of ALL business the necessary) information about the business and its beneficial
corporation will do in the upcoming year. owners to the U.S. Department of Treasury’s Financial
Crimes Enforcement Network (FinCEN). Visit FinCEN.gov/
b. Estimate the gross amount of business that will boi for more information.
specifically be done in Rhode Island in the upcoming
year.
c. Calculate the estimated percentage of the Evidence necessary for businesses providing
corporation’s total business that will be conducted in professional services:
Rhode Island. Prior approval required for engineers:
If the entity is engaged in the practice of Engineering, at
How to pay the filing fee: the time of filing, evidence of a current application with the
The filing fee is payable either by mail via check made Rhode Island Department of Business Regulation, Board
payable to RI Department of State or in person via cash, of Design Professionals (401) 462-9592 or bdp.ri.gov is
credit card, or check at the Business Services Division, 148 required.
W. River Street, Ste. 1, Providence, RI 02904. Contact our
office at (401) 222-3040 for further information. Licensing requirements – all entities:
If the entity is engaged in the practice of law, the applicant
How to confirm your filing: must apply for a limited liability entity license from the Rhode
Island Supreme Court within thirty (30) days of filing with
Entity records are retrievable and viewable through our the Department of State. You may contact the Rhode Island
website. Successful filings will NOT result in a mailed Supreme Court Clerk’s Office at (401) 222-3272 or courts.
confirmation. Filings that cannot be processed will be posted ri.gov.
online and then returned. To confirm your submission and
obtain evidence of your filing: If the entity is engaged in the practice of medicine (see RIGL
• Go to our Corporate Database. 7-5.1-2 for all applicable disciplines) the applicant must apply
• Enter the name or ID number of your entity and click for licensing from the Rhode Island Department of Health,
“Search.” Professional Regulation. You may contact the Rhode Island
• Click on the link to your entity record, scroll down, Department of Health at (401) 222-5960 or health.ri.gov.
select “All Filings” and then “View Filing.”
If the entity is engaged in the practice of land surveying,
• Identify the desired type of filing and click on “PDF”
architecture or landscape architecture, the applicant must
under “View PDF” to view and print the record.
apply for licensing from the Rhode Island Department of
Business Regulations, Board of Design Professionals at
How to maintain your status: (401) 462-9530 or bdp.ri.gov.
The entity is responsible for filing an annual report each
If the entity is engaged in the practice of accountancy, the
calendar year, excluding the year of incorporation, between
applicant must apply for licensing from the Rhode Island
February 1 and May 1. A courtesy reminder will be mailed
Department of Business Regulation, Board of Accountancy
to the registered agent prior to February 1 of each year. Be
at (401) 462-9500 or dbr.ri.gov.
sure to follow up with your registered agent concerning the
filing of this report. Failure to file an annual report or maintain
a registered agent/office will result in revocation proceedings.

Every entity registered with the RI Department of State -
Business Services Division will have filing requirements with
the Rhode Island Division of Taxation, even if no business
is conducted within Rhode Island for a particular year. Your
business may require additional licensing. Please visit our
website for further information.
FORM 150- Revised: 12/2023

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        State of Rhode Island
        Department of State - Business Services Division

Application for Certificate of Authority                                                      STAMP 
FOREIGN Business Corporation
                                                                                              FOR
        Filing Fee:  $310.00 minimum                                                          SECRETARY OF STATE 
                                                                                              USE ONLY

Pursuant to the provisions of RIGL 7-1.2-1405, the undersigned foreign corporation hereby 
applies for a Certificate of Authority to transact business in the State of Rhode Island, and 
for that purpose submits the following statement:
1. The name of the corporation is: 

2. It is incorporated under the laws of: 

3. The name, if different, which it elects to use in Rhode Island is:
(a) If the name of the corporation in its jurisdiction of incorporation does not contain the word “corporation”, “company”, 
“incorporated”, or “limited,” or an abbreviation thereof, then list the name of the corporation with the addition of one of the 
above corporate endings for use in Rhode Island:

(b) If the corporate name is not available in Rhode Island, then set forth below the fictitious name under which the 
corporation will qualify and transact business in Rhode Island as stated in the “Fictitious Business Name Statement” to be 
filed with this application:

4. The date of its incorporation is:

And the period of its duration is:  CHECK ONE BOX ONLY
Perpetual (on-going)
Date certain for dissolution ___________________________________________________

5. The address of its principal office is:

6. The name and address of the initial registered agent/office in Rhode Island:
Agent Name

Street Address (NOT a P.O. Box)

City/Town                                               State                  Zip Code
                                                              RHODE ISLAND

MAIL TO:
Division of Business Services                                                                 STAMP 
148 W. River Street, Providence, Rhode Island 02904-2615
Phone: (401) 222-3040                                                                         FOR
                                                                                              SECRETARY OF STATE 
Website: www.sos.ri.gov                                                                       USE ONLY

                                                                                              FORM 150- Revised:  12/2023

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7. The purpose or purposes which it proposes to pursue in the transaction of business in Rhode Island are:

8. (a) The names and respective addresses of its directors (optional, unless directors are required under the laws of the 
state or country of which it is incorporated):
    NAME                                                       ADDRESS

                                                                                                                             Check the box to indicate an attachment
8. (b) The names and respective addresses of its principal officers (mandatory if directors are not required under the laws 
of the state or country of which it is incorporated):
    OFFICE                           NAME                                                                                     ADDRESS
    PRESIDENT

   VICE PRESIDENT

    TREASURER

    SECRETARY

                                                                                                                              Check the box to indicate an attachment
9. The aggregate number of shares which it has authority to issue; itemized by classes, par value of shares, shares without 
par value, and series, if any, within a class, is:
     NUMBER OF SHARES                        CLASS                                     SERIES                                  PAR VALUE OR STATE NO PAR VALUE           
                                                                                                                                                                        
     ________________      ________________      ______________________                                                       ___________________________
                                                               
     ________________      ________________      ______________________                                                       ___________________________  
                                                            
     ________________      ________________      ______________________                                                       ___________________________
                                                               
     ________________      ________________      ______________________                                                       ___________________________   

10. An estimate, as a percentage, of the proportion that the estimated value of the property of the corporation to be 
located within this state during the following year bears to the value of all property of the corporation to be owned during 
the following year, wherever located. (Note: Percentage obtained from worksheet.)

    ______________ % 

11.  An estimate, as a percentage, of the proportion of the gross amount of business to be transacted by the corporation 
at or from places of business in Rhode Island during the following year compared to the gross amount thereof which will be 
transacted by the corporation during the following year. (Note: Percentage obtained from worksheet.)

    ______________ % 

                                                                                                                                     FORM 150- Revised:  12/2023

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12. This application must be accompanied by a Certificate of Good Standing/Letter of Status from the state or country of 
formation dated within 60 days of the date of this filing.
13. Date when the Certificate of Authority will be effective: CHECK ONE BOX ONLY

   Date received (Upon filing)

   Later effective date (Date must be no more than 90 days from the date of filing)____________________________

14. Under penalty of perjury, I declare and affirm that I have examined this Application for Certificate of Authority, including 
any accompanying attachments, and that all statements contained herein are true and correct.
Type or Print Name of Authorized Officer                                            Date

Signature of Authorized Officer of the Corporation

If you have any questions, please call us at (401) 222-3040, Monday through Friday, 
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
                                                                                            FORM 150- Revised:  12/2023

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        State of Rhode Island
        Department of State - Business Services Division

License Fee Worksheet 
for a Certificate of Authority by a Foreign Business Corporation
Section 7-1.2-1602 of the General Laws of Rhode Island, 1956, as amended

Use worksheet to calculate the corporation’s license fee:
1.  (a)  Estimate, in dollars, the value of all property to be                                                                                        (b) Estimate, in dollars, the value of the corporation’s 
owned by the corporation for the following year, wherever                                                                                             property to be located within Rhode Island during the 
located:                                                                                                                                              following year:
                     $ _______________________                                                                                                                             $ _______________________

c) Estimate, as a percentage, the proportion that the estimated value of the property of the corporation to be located within 
Rhode Island during the following year bears to the value of all property of the corporation to be owned during the following 
year, wherever located: (Note: Divide (1b) by (1a) and multiply by 100 to obtain the percentage.)

______________ % 

2. (a) Estimate, in dollars, the gross amount of business to be                                                                                       (b) Estimate, in dollars, the gross amount of business to be 
transacted by the corporation during the following year:                                                                                              transacted by the corporation at or from places of business 
                                                                                                                                                      in Rhode Island during the following year:
                                                                                                                                                      
                   $ ________________________                                                                                                                            $ ________________________

(c) Estimate, as a percentage, the proportion of the gross amount of business to be transacted by the corporation at or 
from places of business in Rhode Island during the following year compared to the gross amount thereof which will be 
transacted by the corporation during the following year: (Note: Divide (2b) by (2a) and multiply by 100 to obtain the 
percentage.)

______________% 

*This worksheet is NOT a public document and will NOT be imaged.

MAIL TO:
Division of Business Services
148 W. River Street, Providence, Rhode Island 02904-2615
Phone: (401) 222-3040 
Website: www.sos.ri.gov 

If you have any questions, please call us at (401) 222-3040, Monday through Friday, 
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
                                                                                                                                                                     FORM 150- Revised:  12/2023

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      State of Rhode Island
      Department of State - Business Services Division

Filer Contact Information       

In the event our office needs more information in order to complete the filing of this          
document, we ask for the filer’s contact information. All fields are REQUIRED.

Name:                                                                               Date:

Proposed Entity Name:

Street Address:

City:                           State:                                              Zip Code:

Email Address:                                                                      Phone Number: 

If you have any questions, please call us at (401) 222-3040, Monday through Friday, 
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
                                                                                         FORM 150- Revised:  12/2023

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