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                        State of New Hampshire 

Filing fee:  $25.00                                                                          Form FNP-1 
Use black print or type.                                                                     RSA 292:5-b 
                                                                                     & RSA 293-A:15.03 

      APPLICATION FOR REGISTRATION OF A FOREIGN NONPROFIT CORPORATION 

PURSUANT TO THE provisions of voluntary corporations and associations and the New Hampshire 
Business Corporations Act, the undersigned corporation hereby applies for a certificate of registration in 
New Hampshire, and for that purpose submits the following statement: 

FIRST:  The name of the corporation is 
                                                                                                           . 

SECOND:  The name which it elects to use in New Hampshire is 
                                                                                                           . 

THIRD:  The complete address (including zip code) of its principal office is 
                                                                                                           . 
      (no. & street)                                                 (city/town)     (state)      (zip code) 

                                    Principal Business Information: 
      Principal Mailing Address:  
                                  (no. & street)                     (city/town)     (state)      (zip code) 
      Business Phone:   
      Business Email:   
      ____ Please check if you would prefer to receive the Nonprofit Report Reminder Notice by email. 

FOURTH:  It is incorporated under the laws of                                    . 

FIFTH:  The date of its incorporation is                        and the period of its duration is 
                                  . 

SIXTH:  The name of the corporation's initial registered agent (in New Hampshire) is: (Note 1) 
                                                                                                           . 
The complete address of its initial registered office (agent's business address) is: 
                                                                                                           . 
      (no. & street)                                                 (city/town)     (state)      (zip code) 

SEVENTH:  Describe the principal purpose or purposes for which the corporation proposes to pursue in 
New Hampshire (and if known, list the NAICS Code and Sub Code):   

                                                                                                  . (Note 2) 

                                                 Page 1 of 3 
                                                                                               Form FNP-1 

APPLICATION FOR REGISTRATION OF                                        Form FNP-1 
A FOREIGN NONPROFIT CORPORATION                                        (cont.) 
 
EIGHTH:  The names and usual business addresses of its current officers and directors are: (If there are 
additional officers or directors, attach additional sheet.) 
 
          Name                  Title                          Address 
 
OFFICERS 
 
DIRECTORS 
 
                                Page 2 of 3 
                                                                       Form FNP-1 

APPLICATION FOR REGISTRATION OF                                                                  Form FNP-1 
A FOREIGN NONPROFIT CORPORATION                                                                               (cont.) 
 
                                                                     (Corporate Name) 
 
                                                                                                   (Note 3) 
                                                                     (Signature) 
 
                                                                     (Print or type name) 
 
                                                                                                   (Note 3) 
                                                                      (Title) 
 
                                          Date signed:                                            

Notes:  1. New Hampshire law requires out-of-state nonprofit corporations to have a registered agent/ registered 
 office. 
 
 RSA 293-A:15.07 Registered Office and Registered Agent of Foreign Corporation. 
 Each foreign corporation authorized to transact business in this state shall continuously maintain in this 
 state: 
  (1)  a registered office that may be the same as any of its places of business; and 
  (2)  a registered agent, who may be: 
                 (i)  an individual who resides in this state and whose business office is identical with the 
                 registered office; 
                 (ii)  a domestic corporation or not-for-profit domestic corporation whose business office is 
                 identical with the registered office; or 
                 (iii)  a foreign corporation or foreign not-for-profit corporation authorized to transact business in 
                 this state whose business office is identical with the registered office. 
 
 2. A brief description of the type of business may be listed. 
 
 3. Signature and title of person signing for the corporation.  Must be signed by chairman of the board of 
 directors, president or another officer; or see RSA 293-A:1.20(f) for alternative signatures. 
 
DISCLAIMER:  All documents filed with the Corporation Division become public records and will be available for 
public inspection in either tangible or electronic form. 
 
  Mailing Address - Corporation Division, NH Dept. of State, 107 N Main St, Rm 204, Concord, NH 03301-4989 
  Physical Location - State House Annex, 3rd Floor, Rm 317, 25 Capitol St, Concord, NH 
 
                                                         Page 3 of 3 
                                                                                              Form FNP-1  (9/2015)