State of Alaska 
                          Division of Corporations, Business and Professional Licensing 
                          CORPORATIONS SECTION 
                          PO Box 110806 
                          Juneau, AK  99811-0806 
                          Phone: (907) 465-2550 
                          Fax: (907) 465-2974 
                          Website: www.commerce.alaska.gov/occ 
                                                             
                            CERTIFICATE OF AUTHORITY 
                              Foreign Nonprofit Corporation 
                                              AS 10.20.485 
 Filing Fee: $50.00    
  
 INSTRUCTIONS (Please retain for your records): 
  
 Refer to Alaska Statutes 10.20.485. If you need assistance in completing your filing, it is advised that 
 you seek legal counsel. Please be aware that this filing will become public information. 
  
 ITEM 1: Legal Name of Corporation 
 The corporate name may not contain a word or phrase that indicates or implies that the corporation is 
 organized for a purpose other than the purpose contained in its articles of incorporation. A corporate name 
 must be distinguishable upon the record. To search the availability of the legal name of the corporation in the 
 State of Alaska go to the Corporations Section at www.commerce.alaska.gov/occ and select Search 
 Corporations Database.  
  
 The entity must be in good standing in their state of domicile, before we can issue a certificate of authority, 
 please check the box.  
  
 ITEM 2: Assumed Name 
 The name the corporation elects to use if the name in the state of domicile is already in use by another entity in 
 Alaska. To search the availability of the legal name of the corporation in the state of Alaska, go to the 
 Corporations Section at www.commerce.alaska.gov/occ and Search Corporations Database. 
  
 ITEM 3: State of Domicile, Date of Incorporation, Duration 
 Indicate the state of domicile, or “home state”; date of incorporation in the state of domicile (mm/dd/yyyy 
 format); and the duration. Duration is the life expectancy of the corporation and may be a specific future date of 
 less than 100 years. If there is no expected end date, select the “perpetual” box, indicating the corporation 
 plans to transact business uninterrupted for an undeterminable amount of time. 
  
 ITEM 4: Disclosure of Corporate Purposes 
 The purpose describes activities of the corporation at the time of the initial filing and may include “any lawful.” 
 In addition to purpose, also include the NAICS code where indicated. NAICS code may not conflict with the 
 purpose listed. A complete list of NAICS codes is available online under the Corporations Section at 
 www.commerce.alaska.gov/occ. 
  
 ITEM 5: Registered Agent 
 The registered agent of this foreign non-profit corporation must be an individual who is a resident of Alaska, or 
 a corporation (excluding LLC, LP and LLP) registered and in good standing with this office.   The registered 
 agent is statutorily responsible for receiving and forwarding processes, notices, or demands on to the last 
 known address of the entity.   A corporation may not act as its own registered agent.   A physical address and 
 a mailing address in the State of Alaska must be given.   
  
 08-452 (Rev. 01/07/2013)          Certificate of Authority Instructions  
  

ITEM 6: Principal Office Address 
Address of the corporation in the state or country of domicile. 
 
ITEM 7: Officers and Directors 
List the names and mailing addresses of the officers and directors of the corporation. You may attach an 
additional 81/2” x 11” page, if necessary. Please note: do not include confidential information such as Social 
Security Numbers, driver’s license numbers or date of birth, as this record is public information.  
 
ITEM 8: Signatures 
The printed name and signatures of the president or vice president of the corporation, and its secretary or 
assistant secretary are required. If the same person holds two of these positions, two different people must 
sign the application, unless that person holds all positions.  
 
NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects are guilty of a class A misdemeanor.  
 
Mail the Application for Certificate of Authority and the $50.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.  To file 
your application online for immediate processing, visit our website at: www.commerce.alaska.gov/occ.  
  
ADDITIONAL RESOURCES: 
   Professional License:  

  For information regarding what professions require a Professional License, statutes, how to obtain a 
  Professional License, and/or the expiration date if you already have a Professional License, go to the 
  Professional License Section of our website at www.commerce.alaska.gov/occ.  

   Business License:  

  For the privilege of engaging in a business in the State of Alaska, a Business License is required for a new 
  entity. For information regarding business licenses, statutes, and how to obtain a Business License, go to 
  the Business License Section of our website at www.commerce.alaska.gov/occ.  

   Alaska Corporate Net Income Tax 
  Every corporation earning gross income from sources within the state, except for those corporations that 
  are specifically exempted, must file a corporation net income tax return. Contact the Alaska Department of 
  Revenue, Tax Division, PO Box 110420, Juneau, Alaska, 99811-0420, telephone number (907) 465-2320 
  for more information.     
 
08-452 (Rev. 01/07/2013)         Certificate of Authority Instructions   
 

            State of Alaska 
                                                                                      DO NOT STAMP ABOVE THIS BOX 
            Division of Corporations, Business and Professional Licensing 
                                                                                      Office Use Only       CORP 
            CORPORATIONS SECTION 
            PO Box 110806 
            Juneau, AK  99811-0806 
            Phone: (907) 465-2550 
            Fax: (907) 465-2974 
            Website: www.commerce.alaska.gov/occ                                                                      
                                                                                                                      
                            CERTIFICATE OF AUTHORITY                                                  
                            Foreign Nonprofit Corporation 
                                         AS 10.20.485 
                                                                                       
      $50.00 Filing Fee 

 Pursuant to the provisions set forth in Alaska Statutes 10.20.485, the undersigned nonprofit corporation 
 applies for a Certificate of Authority and, for that purpose, submits the following statement: 
  
 ITEM 1:  Legal name of the corporation: 
    
      This foreign entity is active and in good standing in the state/country of domicile.  
  
 ITEM 2: The assumed name the corporation elects to use in Alaska if the legal name is not available: 
    
 ITEM 3: The state of domicile, or “home state”; date of incorporation in the state of domicile (mm/dd/yyyy format); 
 and the duration, or “life expectancy” of the corporation (check box if perpetual): 
   State of domicile:                    Date of Incorporation:                      Duration: ___/___/_____ 
                                         ___/___/_____                                 Perpetual  
  
 ITEM 4: The purpose of the corporation (may include “any lawful”) and the 6 digit NAICS Industry Grouping 
 Code that most clearly describes the initial activities of the company: 
   Purpose:                                                              NAICS               
                                                                         code: 
  
 ITEM 5:  Registered agent name and address (must include a physical and mailing address in Alaska): 
   Name: 
   Physical address:                     City:                                        AK  Zip Code:  
   Mailing address:                      City:                                        AK  Zip Code:  
  
 ITEM 6  : Principal office address of the corporation wherever located: 
   Name: 

   Physical address: 

   Mailing address: 
  
 08-452 (Rev.01/07/2013)                 Page 1of     2                               

ITEM 7   : The names and mailing addresses of the officers and directors of the corporation: 
 Title          Name                     Mailing address   City              State              ZIP code 
 President

 Vice President                                                                                  

 Secretary

 Treasurer

 Director

 Director

If necessary, attach additional pages for continuation.  Please do not include confidential information such as  
Social Security Numbers, driver license numbers or date of birth as this record is public information. 
 
ITEM 8: Signatures 
The printed name and signature of the president or vice president and secretary or assistant secretary. If the 
same person holds two of these positions, two different people must sign the application, unless that person 
holds all positions. 
 
Signature of President or Vice President      Printed name of President or Vice President        Date 
    
Signature of Secretary or Assistant Secretary Printed name of Secretary or Asst. Secretary       Date 
 
NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects are guilty of a class A misdemeanor.  
 
Mail the Application for Certificate of Authority and the $50.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received. To file 
your application online for immediate processing, visit our website at: www.commerce.alaska.gov/occ.   

08-452 (Rev.01/07/2013)                       Page 2of   2               

               State of Alaska 
                                                                                 DO NOT STAMP ABOVE THIS BOX 
               Division of Corporations, Business and Professional Licensing 
                                                                                 Office Use Only       CORP 
               CORPORATIONS SECTION 
               PO Box 110806 
               Juneau, AK  99811-0806 
               Phone: (907) 465-2550 
               Fax: (907) 465-2974 
               Website: www.commerce.alaska.gov/occ                                                                      
                                                                                                                         
                            CONTACT INFORMATION SHEET  

 Please return this document with your filing. This information will only be used to resolve questions with the filings 
 attached. NOTE: this form will not be filed for record or appear online. 
  
 Name of entity as it appears on filing: 
   
 To resolve questions with this filing, contact: 
  Name: 

  Email:                                                                  Phone:

  Mailing address: 

 Return documents to: 
  Name: 

  Company: 

  Mailing address: 
  
 Attach this form to your filings. Send all documents to: 
 State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
  
 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
 approximately 10-15 business days. All applications are reviewed in the date order they are received.  

  08-561 (Rev. 02/01/2012)                       Page  1of 1