DOS-1555-f-a (Rev. 02/16)
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(Name of Foreign Corporation)
Under Section 1304 of the Not-for-Profit Corporation Law
FIRST: The name of the foreign corporation is:
If the name of the corporation does not contain a required word or abbreviation indicating
corporate character, the corporation agrees to add the following word or abbreviation
to the end of its name for use in New York State:
If the corporation’s true name is not available for use in New York State pursuant to §301 and
§302 of the Not-for-Profit Corporation Law, the fictitious name the corporation agrees to use in
this s
tate is:
SECOND: The jurisdiction in which the corporation was organized is:
The date of its incorporation is:
The corporation is a foreign corporation as defined in subparagraph (7) of paragraph (a)
Section 102 of the Not-for-Profit Corporation Law.
If formed in New York State, the corporation would be a (check the appropriate
box) charitable corporation
non-charitable corporation.
A. The purposes to be pursued in this state are:
DOS-1555-f-a (Rev. 02/16)
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A. Continued.
B. The activities which it proposes to conduct in this State are:
The corporation is authorized to conduct the above activities in its jurisdiction of incorporation.
SIXTH: The county within this state in which the office of the corporation is to be located is:
. (A county in New York State must be stated. Please note
that the
corporation is not required to have an actual physical office in this state.)
SEVENTH: The Secretary of State is designated as agent of the corporation upon whom process
against the corporation may be served. The address to which the Secretary of State shall forward
copies of process accepted on behalf of the corporation is:
EIGHTH: (Please check the appropriate statement.)
The corporation has not, since its incorporation or since the date its authority to conduct
activities in New York was last surrendered, engaged in any activity in this state except
as set forth in paragraph (b) of Section 1301 of the Not-for-Profit Corporation Law.
The consent of the State Tax Commission is attached.
(Signature) (Capacity of Signer)
(Print or Type Signer’s Name)
DOS-1555-f-a (Rev. 02/16)
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(Name of Foreign Corporation)
Under Section 1304 of the Not-for-Profit Corporation Law
Filer’s Name
City, State and Zip Code
1. The certificate must be submitted with a $135 filing fee.
2. This form was prepared by the New York State Department of State. It does not contain all optional provisions under the law.
You are not required to use this form. You may draft your own form or use forms available at legal stationery stores.
3. The Department of State recommends that all documents be prepared under
the guidance of an attorney.
4. Attached to the Application for Authority must be a Certificate of Existence/Good Standing/Status from the official who
files and maintains corporate records in the jurisdiction of the corporation. (Please Note: This official is generally the
Secretary of State.)
5. Please be sure to review Section 404 of the Not-for-Profit Corporation Law to determine if any consents or approvals
are required to be attached to this application for authority.
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