Fillable *134A* Docketing Statement New Entity (How to Start a Business)

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*134A* Docketing Statement New Entity (How to Start a Business)

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PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
1. Entity Name:
In the case of a foreign association which must use an alternate name to register to do business in Pennsylvania, the
alternate name should be given.
2. Tax Responsible Party
Name of individual responsible for initial tax reports: ______________________________________________________
Mailing address of individual responsible for initial tax reports:
__________________________________________________________________________________________________
Number and street City State Zip County
3. Description of Business Activity:
__________________________________________________________________________________________________
Docketing Statement – New Entity
DSCB:15-134A
(rev. 7/2015)
*134A*
134A
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*134A* Docketing Statement New Entity (How to Start a Business)

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Completed 20 November 2020

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