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Application for Authority to Transact Business - Business/Professional
Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 – sos.oregon.gov/business - Phone: (503) 986-2200
Check the appropriate box below:
FOREIGN BUSINESS CORPORATION
(Complete only 1, 2, 3, 4, 5, 6, 7, 8, 9, 11)
FOREIGN PROFESSIONAL CORPORATION
(Complete all items)
REGISTRY NUMBER:
For office use only
In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record.
W e must release this information to all parties upon request and it will be posted on our website. For office use only
Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary.
1) NAME OF CORPORATION :
NOTE: Must be identical to the name of record in home jurisdiction.
2) REGISTRYNUMBER IN HOME URISDICTIONJ 8) ADDRESS FORMAILING NOTICES :
OR: CERTIFICATE OF EXISTENCE (ATTACHED)
(Please provide a web-verifiable registry number from the entity’s home
jurisdiction. Certain states, such as Delaware and New Jersey, do not provide
status information online. Entities from such places must instead attach an
official certificate of existence, current within 60 days of delivery to this office.)
3) DATE OF INCORPORATION : DURATION ,IF NOT ERPETUALP : 9) NAME AND ADDRESS OF RESIDENTP AND ECRETARYS :
President:
4) STATE OR COUNTRY OF RGANIZATIONO : Address:
5) ADDRESS OF PRINCIPAL FFICEO OF THE USINESSB :
(Address, city, state, zip) Secretary:
Address:
6) NAME OF OREGON EGISTERED R GENTA :
PROFESSIONALCORPORATION ONLY
7) REGISTERED AGENT S ' PUBLICLY VAILABLE A DDRESSA : (Must be
anOregon Street Address which is identical to the registered agent’s 10) PROFESSIONAL/BUSINESSS ERVICES:(List professional service(s) and other
business office.) business services, if applicable, to be rendered.)
11) EXECUTION: (Must be signed by at least one authorized signer.)
I declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, fraudulently obscure,
fraudulently alter or otherwise misrepresent the identity of the person or any officers, directors, employees or agents of the corporation.
This filing has b een examined by me and is, to the best of my knowledge and belief true, correct, and complete. Making false statements
in this document is against the law and may be penalized by fines, imprisonment or both.
Signature: Printed Name: Title:
CONTACT NAME :(To resolve questions with this filing.) FEES
Required Processing Fee $275
PHONE NUMBER :(Please include area code.) ProcessingFees are nonrefundable. Please make check payable to “CorporationDivision.”
Free copies are available at sos.oregon.gov/business, using the Business Name Search program.
50 - Application for Authority to Transact Business - Business Professional (11/17)
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