Fillable Corporation TYPE OR PRINT LEGIBLY APPLICATION FOR CERTIFICATE (How to Start a Business)

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Corporation TYPE OR PRINT LEGIBLY APPLICATION FOR CERTIFICATE (How to Start a Business)

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SUBMIT ORIGINAL AND A COPY Foreign Nonprofit
Corporation
TYPE OR PRINT LEGIBLY APPLICATION FOR CERTIFICATE OF
AUTHORITY
The undersigned corporation, in order to apply for a Certificate of Authority to conduct
affairs in New Mexico under the Nonprofit Corporation Act, submits the following
statement to the Secretary of State:
1. The name of the corporation is (must be identical to the corporate name as stated on the
certificate of good standing from its domestic state):
___________________________________________________________________________
___________________________________________________________________________
It is incorporated under the laws of ______________________________________________
2. The date of incorporation in its domestic state is: ___________________
The period of duration is: ________________________.
3. The address of the corporation’s registered office in its domestic state is:
______________________________________________________________________________
_______________
The address of the principal office, if different from the registered office address, is:
___________________________________________________________________________
4. The street address of the proposed registered office in New Mexico is: ______________
____________________________________________________________________________
(P.O. Box is not acceptable. Provide a description of the geographical location if a street
address does not exist).
The name of the registered agent at the address of the New Mexico registered office is:
______________________________________________________________________________
5. The purpose that the corporation proposes to pursue in conducting its affairs in New Mexico is
(at least one specific purpose must be stated; attach additional page if needed):
______________________________________________________________________________
6. The names and respective addresses of the officers and directors of the corporation are
(indicate the applicable title of each officer and each director; attach additional page if needed):
325 Don Gaspar, Suite 300 ∙ Santa Fe, NM 87501
(800) 477-3632 ∙ www.sos.state.nm.us
Name and Title Address
Dated: __________________ Name of Corporation_______________________
Two officers must sign: By___________________________________________
Signature of Authorized Officer
By___________________________________________
Signature of Authorized Officer
THIS APPLICATION MUST BE ACCOMPANIED BY A CERTIFICATE OF GOOD
STANDING / EXISTENCE, ISSUED BY THE APPROPRIATE OFFICIAL CUSTODIAN
OF CORPORATE RECORDS FOR THE STATE OR COUNTRY UNDER THE LAWS
OF WHICH THE APPLYING CORPORATION IS INCORPORATED. THIS
CERTIFICATE MUST BE ORIGINAL OR ELECTRONICALLY ISSUED, AND MUST
BE CURRENT WITHIN THIRTY DAYS, OR HAS NOT EXPIRED, UPON
SUBMISSION TO THE SECRETARY OF STATE.
Form FNP
(revised 06/13)
325 Don Gaspar, Suite 300 ∙ Santa Fe, NM 87501
(800) 477-3632 ∙ www.sos.state.nm.us
STATEMENT OF ACCEPTANCE OF APPOINTMENT
BY DESIGNATED INITIAL REGISTERED AGENT
I, _____________________________________________________________________,
hereby acknowledge that the undersigned individual or corporation accepts the
appointment
as Initial Registered Agent of_____________________________________,
the corporation which is named in the annexed Application for Certificate of Authority.
_________________________________________________________
(Sign on this line if the registered agent named in the application is an individual.
If this line is signed, the two lines below do not apply and must be left blank.)
(If the following lines are used, the signature line above does not apply and must be left
blank.)
_________________________________________________________
(If the registered agent named in the application is a corporation, type or print
the name of that corporation here.)
By_______________________________________________________
(An authorized officer of the corporation being appointed as registered agent
must sign
here.)
Form F-STMNT
(revised 06/13)
325 Don Gaspar, Suite 300 ∙ Santa Fe, NM 87501
(800) 477-3632 ∙ www.sos.state.nm.us
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Corporation TYPE OR PRINT LEGIBLY APPLICATION FOR CERTIFICATE (How to Start a Business)

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Completed 20 November 2020

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