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                          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 Business Corporation 
                                              AS 10.06.730 
 Filing Fee: $350.00    
  
 INSTRUCTIONS (Please retain for your records): 
  
 Refer to Alaska Statutes 10.06.730. 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 
 A corporate name must contain the word "corporation," "company," "incorporated," or "limited," or an 
 abbreviation of one of these words. 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 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 

 08-414 (Rev. 01/07/2013)          Certificate of Authority Instructions  
  



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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.   
 
ITEM 6: Principal Office Address 
Address of the corporation in the state or country of domicile. 
 
ITEM 7: Alien Affiliate 
Defined in AS 10.06990 as a person that directly or indirectly through one or more intermediaries controls, or is 
controlled by, or is under common control with, a corporation subject to this chapter:  
        An individual who is not a citizen or national of the United States, or who is not lawfully admitted to the 
        United States for permanent residence, or paroled into the United States under the Immigration and 
        Nationality Act (8 U.S.C. 1101 – 1525, as amended): 
 1.  A person, other than an individual, that was not created or organized under the laws of the United 
        States or of a state, or whose principal place of business is not located in any state; or 
 2.  A person, other than an individual, that was created or organized under the laws of the United States of 
        a state, or whose principal place of business is located in a state, and that is controlled by a person 
        described in (1) or (2) of this paragraph[.] 
 
ITEM 8: Authorized Shares 
All for-profit business corporations must provide the number of authorized shares – the maximum number of 
shares that a corporation is legally permitted to issue. Zero (0) is not an acceptable quantity. If there is more 
than one class or series of authorized shares, please provide this information.  
 
Par value is the nominal value or dollar value of the original cost of a share and has no relation to market 
value.  
 
ITEM 9: Issued Shares 
Provide the number, class, and series of issued shares, if any. Issued shares are the number of authorized 
shares that are sold to and held by shareholders of a company. If shares have been issued, you must 
complete Item 10: Shareholders.  
 
ITEM 10: Shareholders 
List the names and mailing addresses of persons owning 5% or more of any class of shares, and the 
percentage owned by each person. If there are issued shares, you must complete Item 9: Issued Shares. 
 
ITEM 11: 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 12: 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.  
 
Mail the Application for Certificate of Authority and the $350.00 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.  

08-414 (Rev. 01/07/2013)         Certificate of Authority Instructions            
 



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              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 Business Corporation 
                                      AS 10.06.730 
                                                                               $150 Fee + $200 Tax = $350.00 
      $350.00 Filing Fee                                                        

 Pursuant to Alaska Statutes 10.06.730, the undersigned corporation applies for a Certificate of Authority and, 
 for that purpose, submits the following statement:  
  
 ITEM 1:  Legal name of the corporation must contain the word “corporation”, “company”, “incorporated”, 
 “limited” or an abbreviation of one of these words. 
    
        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: 
   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: 
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ITEM 7 :Name and address of each alien affiliate (if there are no alien affiliates, indicate “none”): 
 Name: 

 Mailing address: 

 City: State/Province: Country: 
Attach additional sheet if more than one alien affiliate. 
 
ITEM 8  : Number of authorized shares (zero is not an acceptable quantity): 
                               Common                                               
                               Preferred 
# of Authorized shares Class    Series    Par value 
                               Common                                               
                               Preferred 
# of Authorized Shares Class    Series    Par value 
 
ITEM 9  : Number of issued shares; if shares have been issued, complete item #10, Shareholders: 
                                                                                     
# of Issued Shares            Class                         Series                 Par Value 
                                                                                     
# of Issued Shares            Class                         Series                 Par Value 
 
ITEM 10: Name and address of each person/entity owning 5% or more of the issued shares or 5% of any class 
of issued shares and the percentage of the issued shares owned by that person. If there are no person/entity 
owning 5% or more please indicate with “NONE”. If you have shareholders Item #9 must be completed. 
                                                                                                      % Issued 
        Name                      Mailing address                  City      State    ZIP code 
                                                                                                      shares held
                                                                                                       
Attach additional sheet if necessary.  
 
ITEM 11  : 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. 
 
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ITEM 12 :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 $350.00 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.   

08-414 (Rev. 01/07/2013)    Page  of                    3   3             



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               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                  
  



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                         THE  TATE S                                                                                                          FOR DIVISION USE ONLY 
                         of 
                                                                                                                                                              
                           ALASKA 
                         Department of Commerce, Community, and Economic Development 
                         Division of Corporations, Business and Professional Licensing 
 
          State of Alaska  
          Department of Commerce, Community, and Economic Development 
          Division of      Corporations, Business and Professional Licensing 
          PO Box 110806, Juneau, AK 99811 
          Phone: (907)     465-2550 
 
Credit Card Payment Form                                                                                        

All major credit cards are accepted. For security purposes, do not email credit card information. 
Include this credit card payment form with your application.  

Name of Applicant or Licensee:      _________________________________________________________________________________________________________________________ 

Program Type:   ________________________________________________________       License Number (if applicable):                                    ________________________________ 

 I wish to make          payment by credit card for the following(check all that apply):                                                                        AMOUNT           

          Application Fee:  _________________________________________________________________________________________________                           __________________________         

          License or Renewal Fee:        _________________________________________________________________________________                              __________________________         

          Other (name change, wall certificate, fine, duplicate license, exam, etc.):         

            1.           _____________________________________________________________________________________________________________________               __________________________ 

            2.          _____________________________________________________________________________________________________________________                __________________________         

                                                                                                       TOTAL:            ___________________________ 

Name (as shown on credit card):   ________________________________________________________________________________________________________________________ 

Mailing Address:            ___________________________________________________________________________________________________________________________________________________ 

Phone Number:   ________________________________________________________      Email (optional):               _______________________________________________________ 

Signature of Credit Card Holder:                     _____________________________________________________________________________________________________________________ 

  08-4438                   Rev 12/26/18                   Credit Card Payment Form (all major cards accepted) 
  
   CREDIT CARD INFO:  Your payment cannot be processed unless all fields are completed! 
   
       1. Account Number:                                                                                       All four fields MUST 

                                                                                                                                                 be completed! 
       2. Expiration Date:                                                                                                                                    

                                                                                                                This section will be 
       3. Billing ZIP Code: 
                                                                                                                destroyed after the 
       4. Security Code:                                                                                       payment is processed. 
   






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