Legal Incorporation Application

Legal Incorporation Application

This Legal Incorporation Application is submitted on behalf of Applicant Name: with principal address: and Registered Agent Name: with registered office at:

RECITALS

WHEREAS, Applicant desires to form a corporation under the laws of the governing jurisdiction for the purpose of conducting lawful business activities and obtaining the benefits and obligations of corporate status; and

WHEREAS, Applicant has selected a registered agent who has consented to act in such capacity and to accept service of process on behalf of the proposed corporation at the registered office identified herein; and

WHEREAS, Applicant submits this formal application containing the information required for filing and certifies the truthfulness and authority of the representations made herein.

NOW, THEREFORE, in consideration of the mutual representations and covenants contained in this Application, Applicant hereby applies for incorporation and states as follows.

1. CORPORATE NAME

The name of the proposed corporation shall be and the Applicant affirms that, to the best of Applicant's knowledge, such name complies with statutory naming requirements of the governing jurisdiction.

2. ENTITY TYPE

The proposed entity will be formed as (select applicable type(s)): For-Profit Corporation Nonprofit Corporation Close/Closely Held Professional Corporation

3. PURPOSE

The proposed corporation is organized for the following lawful purpose(s). If general business purposes are selected, specify any limitations or restrictions in the additional provisions section.

4. REGISTERED OFFICE AND AGENT

Registered agent consents to service of process at the above address: Agent consents

5. DURATION

The duration of the corporation shall be . If a specific term is designated, the corporation shall dissolve at the end of that term unless previously extended in accordance with law.

6. AUTHORIZED SHARES

The total number of shares the corporation is authorized to issue is with the par value per share of .

7. INCORPORATOR(S) AND INITIAL DIRECTORS

8. PRINCIPAL OFFICE AND FISCAL YEAR

Fiscal year end (month and day):

9. POWERS, LIMITATIONS AND INDEMNIFICATION

The corporation shall possess all powers now or hereafter conferred by statute and necessary, advisable or appropriate for the accomplishment of its corporate purposes. No act or omission of the corporation shall be construed to authorize conduct contrary to law.

The corporation shall indemnify directors, officers and agents to the fullest extent permitted by applicable law for actions taken in good faith on behalf of the corporation, subject to any limitations set forth in the bylaws or statute.

10. EFFECTIVE DATE

The effective date of incorporation shall be unless a later date is required by filing authority.

11. FILING, FEES AND PAYMENT

Applicant acknowledges that filing the incorporation documents may require payment of fees and that submission of this Application does not guarantee acceptance. Applicant shall be responsible for any required filing fees and for ensuring all required attachments accompany this Application.

12. NOTICES

Any notice required or permitted by this Application shall be in writing and delivered to the addresses set forth herein. Notice shall be effective upon personal delivery or three days after deposit in the mail, postage prepaid, addressed to the last known address.

13. AMENDMENTS; WAIVER

This Application may be amended only by a written instrument executed by the Applicant before filing or, after filing, by the corporation in accordance with applicable law. No waiver of any provision shall be effective unless in writing and signed by the party granting the waiver.

14. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Application shall be governed by and construed in accordance with the laws of the governing jurisdiction. This Application constitutes the entire agreement of the parties with respect to its subject matter. If any provision is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

15. CERTIFICATION AND EXECUTION

The undersigned Applicant and Registered Agent certify, under penalty of perjury and to the best of their knowledge, that the information contained in this Application is true and correct, that the person executing this Application on behalf of Applicant is authorized to do so, and that the Registered Agent has consented to serve in that capacity.

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