PAUL D. PATE FOREIGN PROFIT CORPORATION Secretary of Sta et REGISTRATION STATEMENT State of Iowa TO THE SECRETARY OF STATE OF THE STATE OF IOWA: Pursuant to section 1503 of the Iowa Business Corporation Act(Iowa Code chapter 490), the undersigned foreign corporation submits for filing the following foreign registration statement: 1. The name of the corporation is : 1A. The name the corporation will use in Iowa, if different than the legal name of the corporation is: (See note #6) 2. The corporation is incorporated underthe laws of the stat [e or oreignf coun ryt ]of: 3. The date of incorporation of hetcorpora iont was: 4. The duration of the corporation is: . 5The street and mailing addresses of its principal office are: Street Address: Address City, State, Z ip Mailing Address, if different from principal office street address above: Address City, State, Z ip 6. The addresses of any separate office required by law to be maintained in thejurisdiction of formation: Street Address: Address City, State, Z ip Mailing Address, if different from principal office street address above: Address City, State, Z ip 7. The name of the corporation's registered agent at its registered office in Iowa and the street and mailing addresses of that office are: Name Street Address: Address City, Stat ,eZip Mailing Address, if different from registered office street address above: Address City, Stat ,eZip 635_0110 A 7/22 |
8. The names and business addresses of its current directors and officers: Name Address City, Stat ,eZip Name Address City , State , Zip Name Address City , State , Zip Name Address City , State , Zip Name Address City , State , Zip [Please attach additional pages as necessary] 9. A certificate of existence, or a document of similar import, duly authenticated by the secretary of sta te or other official having custody of corporate records in the state or country of incorporation within 90 days prior to the filing date of this application, accompanies this application. 10.Signature Type or prin t name and title SECRETARY OF STATE Business Services Division Lucas Building, 1st Floor Des Moines, Iowa 50319 Phone: (515)281-5204 Fax:(515) 242-5953 Website: sos.iowa.gov 635_0110 A 7/22 |
NOTES: 1. The filing fee is $100.00. Make checks payable to SECRETARY OF STATE 2. A certificate of existence, or a document of similar import, duly authenticated within 90 days prior to the date of this application, by the secretary of state or other official having custody of corporate records in the state or country of incorporation, must accompany this application. 3. The document is to be signed by the chairperson of the board, the president, or other officer of the corpora- tion. If directors have not been selected, the document is to be signed by an incorporator. If the corporation is in the hands of a court appointed fiduciary, the document is to be signed by the fiduciary. A copy of a signature is acceptable for filing. Verification is not required. 4. One copy of the document is to be delivered to the Secretary of State for filing. 5. The effective time and date of the document is the later of the following: a. the time of filing on the date it is filed; b. the time specified in the document on the date it is filed; c. the time and date specified in the document, not later than 90 days after the date it is filed. 6. If the name of the corporation does not satisfy the requirements of section 401 of the Iowa Business Corporation Act, it may do one of the following in submitting a Registration Statement: a. add one of the following words or abbreviations to its corporate name for use in Iowa:"corporation", "incorporated", "company", "limited", "corp.", "inc.", "co.", or "ltd." OR b. choose a compliant, available name for transacting business in Iowa if the corporation's real name is unavailable. 7. The information you provide will be open to public inspection under Iowa Code chapter 22.11. SECRETARY OF STATE Business Services Division Lucas Building, 1st Floor Des Moines, Iowa 50319 Phone: (515)281-5204 Fax:(515) 242-5953 Website: sos.iowa.gov 635_0110 A 7/22 |