08-474 (Rev. 04/03/2013) Certificate of Authority Instructions
CERTIFICATE OF AUTHORITY
Foreign Cooperative Corporation
AS 10.15.525
Filing Fee: $250.00
INSTRUCTIONS (Please retain for your records):
Refer to Alaska Statutes 10.15.525. 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 and the foreign cooperative must have at least
one member residing in the state of Alaska before we can issue a certificate of authority, please check both
boxes
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
.
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
08-474 (Rev. 04/03/2013) Certificate of Authority Instructions
ITEM 5: Registered Agent
The registered agent of this foreign cooperative 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
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 cooperative corporations must provide the number of authorized shares, if any. If there is more than one
class or series of authorized shares, please provide this information.
ITEM 9: Issued Shares
Provide the number, class, and series of issued shares, if any. 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 authorized 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 $250.00 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
.
ADDITIONAL RESOURCES:
08-474 (Rev. 04/03/2013) Certificate of Authority Instructions
Professional License:
For information regarding what professions require a Professional License, statutes, how to obtain a
Professional License, and/or the expiration date if you already have a Professional License, go to the
Professional License Section of our website at www.commerce.alaska.gov/occ
.
Business License:
For the privilege of engaging in a business in the State of Alaska, a Business License is required for a new
entity. For information regarding business licenses, statutes, and how to obtain a Business License, go to
the Business License Section of our website at www.commerce.alaska.gov/occ
.
Alaska Corporate Net Income Tax
Every corporation earning gross income from sources within the state, except for those corporations that
are specifically exempted, must file a corporation net income tax return. Contact the Alaska Department of
Revenue, Tax Division, PO Box 110420, Juneau, Alaska, 99811-0420, telephone number (907) 465-2320
for more information.
08-474 (Rev. 04/03/2013) Page 1 of 3
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
DO NOT STAMP ABOVE THIS BOX
Office Use Only CORP
CERTIFICATE OF AUTHORITY
Foreign Cooperative Corporation
AS 10.15.525
$250.00 Filing Fee
Pursuant to Alaska Statutes 10.15.525, the undersigned cooperative 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.
The foreign entity is active and in good standing in the state/country of domicile
The foreign entity has at least one member residing in the State of Alaska
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:
08-474 (Rev. 04/03/2013) Page 2 of 3
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, if any:
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
persons/entities owning 5% or more please indicate with “NONE”. If you have shareholders Item #9 must be
completed.
Name Mailing address City State ZIP code %
Issued
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.
08-474 (Rev. 04/03/2013) Page 3 of 3
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, is guilty of a class A misdemeanor.
Mail the Application for Certificate of Authority and the $250.00 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
.
08-561 (Rev. 02/01/2012) Page 1 of 1
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
DO NOT STAMP ABOVE THIS BOX
Office Use Only CORP
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.