Incorporation Application Form

Incorporation Application Form

This Incorporation Application (the Application) is submitted by Applicant Name: , whose principal business address is Applicant Address: . Applicant requests the formation of a corporation in Jurisdiction: under the laws of the stated jurisdiction.

RECITALS

WHEREAS, Applicant wishes to form a business corporation for lawful purposes and to obtain a certificate of incorporation pursuant to applicable corporate statutes and regulations;

WHEREAS, Applicant has prepared and submitted the information required for filing, including the proposed corporate name, registered office and agent, capital structure, and the names and addresses of the incorporator(s) and initial directors;

WHEREAS, Applicant certifies that the statements contained herein are true and correct to the best of Applicant's knowledge and that the formation of the corporation will comply with governing statutory requirements;

NOW, THEREFORE, Applicant submits this Application and requests that a certificate of incorporation be issued upon acceptance of this Application by the appropriate filing authority.

1. CORPORATE NAME

The proposed name of the corporation shall be: . Applicant represents that the proposed name, to the best of Applicant's knowledge, does not infringe existing corporate names in the jurisdiction and contains the required statutory designator where applicable.

2. TYPE OF CORPORATION

The corporation is intended to be formed as (select applicable): Stock corporation Nonstock corporation Close/Restricted corporation

3. REGISTERED OFFICE AND REGISTERED AGENT

The designated registered agent consents to appointment by acknowledging below or by separate acceptance as required by law.

4. PURPOSE

The corporation shall have the power to engage in any lawful business for which corporations may be incorporated in the stated jurisdiction and to exercise all powers incidental thereto.

5. AUTHORIZED CAPITAL

The total number of shares the corporation is authorized to issue: . Par value per share: .

Shares without par value Multiple classes of stock (specify terms below)

6. INCORPORATOR(S)

The name and address of each incorporator is set forth below and the incorporator(s) execute this Application certifying the truth of the contents.

7. INITIAL DIRECTORS

The following persons are designated as the initial directors to hold office until the first annual meeting of shareholders or until their successors are duly elected and qualified:

8. DURATION; FISCAL YEAR; EFFECTIVE DATE

Duration of the corporation: Perpetual Term (years):

Fiscal year end month: . Requested effective date of incorporation: .

9. GOVERNANCE; BYLAWS

Upon issuance of the certificate of incorporation, the initial board of directors shall adopt bylaws for the regulation of the internal affairs of the corporation. Bylaws may be amended or repealed by the board or shareholders as provided by statute and the bylaws themselves.

10. LIMITATION OF LIABILITY; INDEMNIFICATION

To the fullest extent permitted by applicable law, a director of the corporation shall not be personally liable to the corporation or its shareholders for monetary damages for breach of fiduciary duty as a director. The corporation shall indemnify and advance expenses to officers and directors to the maximum extent permitted by law, subject to rights of contribution and limitation set forth in statute.

11. NOTICES

Notices required by this Application or by statute shall be in writing and shall be effective upon delivery when hand-delivered, on the date of confirmed delivery by nationally recognized overnight courier, or on the date of transmission when delivered by electronic mail with confirmation.

12. AMENDMENTS; WAIVER; COUNTERPARTS

This Application may be amended by the incorporator(s) prior to filing if necessary to comply with statutory requirements. No waiver of any provision of this Application shall be valid unless in writing and signed by the party granting the waiver. This Application may be executed in counterparts, each of which shall be deemed an original and all of which together constitute one instrument.

13. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Application shall be governed by and construed in accordance with the laws of the jurisdiction specified in this Application without regard to conflict of laws principles. This Application contains the entire understanding of the parties with respect to its subject matter and supersedes all prior agreements and understandings, whether written or oral. If any provision of this Application is held invalid or unenforceable, such invalidity or unenforceability shall not affect the remaining provisions, which shall remain in full force and effect.

14. CERTIFICATION

The undersigned incorporator(s) certify under penalty of perjury that the information contained in this Application is true and correct, and that the incorporator(s) are authorized to submit this Application on behalf of the proposed corporation.

Sign Now