F The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth FPC One Ashburton Place, Boston, Massachusetts 02108-1512 FORM MUST BE TYPED Foreign Corporation FORM MUST BE TYPED Certifi cate of Registration (General Laws, Chapter 156D, Section 15.03; 950 CMR 113.48) (1) Exact name of the corporation, including any words or abbreviations indicating incorporation: ________________________________________________________________________________________________ (2) Name under which the corporation will transact business in the commonwealth that satisfi es the requirements of G.L. Chap- ter 156D, Section 15.06: ________________________________________________________________________________________________ If applicable, please attach: • an agreement to refrain from use of the unavailable name in the commonwealth; and • a copy of the doing business certifi cate fi led in the city or town where it maintains its registered offi ce; and • a copy of the resolution of the corporation’s board of directors, certifi ed by its secretary, the name under which the corpora- tion will transact business in the commonwealth pursuant to 950 CMR 113.50(4). (3) Jurisdiction of incorporation: __________________________________________________________________________ Date of incorporation: ______________________________ Duration if not perpetual: ____________________________ (month, day, year) (4) Street address of principal offi ce: _______________________________________________________________________ (number, street, city or town, state, zip code) (5) Street address of registered offi ce in the commonwealth: _____________________________________________________ (number, street, city or town, state, zip code) Name of registered agent in the commonwealth at the above address: _____________________________________ I, _________________________________________________________________________________________________ registered agent of the above corporation consent to my appointment as registered agent pursuant to G. L. Chapter 156D, Section 5.02.* * Or attach registered agent’s consent hereto. P.C. c156ds1503950c11348 01/13/05 |
(6) Fiscal year end: _____________________________________________________________________________________ (month, day) (7) Brief description of the corporation’s activities to be conducted in the commonwealth: ________________________________________________________________________________________________ (8) Names and business addresses of its current offi cers and directors: NAME BUSINESS ADDRESS President: Vice-president: Treasurer: Secretary: Assistant secretary: Director(s): Attach certifi cate of legal existence or a certifi cate of good standing issued by an offi cer or agency properly authorized in the jurisdiction of organization. If the certifi cate is in a foreign language, a translation thereof under oath of the translator shall be attached. Th is certifi cate is eff ective at the time and on the date approved by the Division, unless a later eff ective date not more than 90 days from the date of fi ling is specifi ed: _________________________________________________________________________ |
Signed by: ___________________________________________________________________________________________ , (signature of authorized individual) ® Chairman of the board of directors, ® President, ® Other offi cer, ® Court-appointed fi duciary, on this _________________________day of_________________________________________day of_________________________________________day of , _____________________. |
COMMONWEALTH OF MASSACHUSETTS William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512 Foreign Corporation Certifi cate of Registration (General Laws, Chapter 156D, Section 15.03; 950 CMR 113.48) I hereby certify that upon examination of this foreign corporation certifi cate, duly submit- ted to me, it appears that the provisions of the General Laws relative thereto have been complied with, and I hereby approve said certifi cate; and the fi ling fee in the amount of $______ having been paid, said certifi cate is deemed to have been fi led with me this _____________ day of _____________day of _____________day of , 20______ , at _______a.m./p.m. time Eff ective date: _____________________________________________________ (must be within 90 days of date submitted) WILLIAM FRANCIS GALVIN Secretary of the Commonwealth Examiner Filing fee: $400 Name approval TO BE FILLED IN BY CORPORATION Contact Information: C ___________________________________________________________ M ___________________________________________________________ ___________________________________________________________ Telephone: ___________________________________________________ Email: ______________________________________________________ Upon fi ling, a copy of this fi ling will be available at www.sec.state.ma.us/cor. If the document is rejected, a copy of the rejection sheet and rejected document will be available in the rejected queue. |