Fill - Form 3101: Membership Camping Resort Operator Registration Application (Texas Secretary of State)

This space reserved for office use.

1

________________________________________________________________________________________

________ __________________________________________

________________________________________________________________________________________

_________________________________________________________________________________________

________________________________________________________________________________________

_________________________________________________________________________________

________________________________________________________________________________

______________________________ _________ _________________

______________________________________

*****

_________________________________________________________________________________

________________________________________________________________________________

______________________________ _______ ___________________

___________________________

*****

_________________________________________________________________________________

_______________________________________________________________________________

Membership Camping Resort

Operator Registration

Application

Form 3101

(Revised 03/15)

Submit to:

Secretary of State

Registrations Unit

P.O. Box 13550

Austin, TX 78711-3550

512 475-0775

FAX: 512 475-2815

Filing Fee: $250.00

1. Operator's Name:

2. Business Address of Operator:

3. Business Telephone of Operator ( )

4. Name of Camping Resort:

5. Address of Camping Resort (if different from operator's):

6. Organizational form of operator's business (i.e., sole proprietorship, partnership, corporation):

7. Name and address of each partner or officer:

Name:

Address:

City: State: Zip:

% of Ownership:

Name:

Address:

City: State:

Zip:

% of Ownership:

Name:

Address:

______________________________ _______ ___________________

___________________________

__________________________________________________________________________________

________________________________________________________________________________

_________ ___________________

___________________________

*****

__________________________________________________________________________________

________________________________________________________________________________

______________________________ _______ ___________________

___________________________

_________________________________________________________________________________________

________________________________________________________________________________________

*****

2

City: State: Zip:

% of Ownership:

Name:

Address:

City: _____________________ State: _______ Zip:

% of Ownership:

Name:

Address:

City: State: Zip:

% of Ownership:

8. Type of document or instrument creating operator's ownership of, or other right to use, the

membership camping resort:

A CERTIFIED COPY OF EACH OF THE FOLLOWING DOCUMENTS OR INSTRUMENTS MUST

BE ATTACHED TO THIS APPLICATION BEFORE IT WILL BE PROCESSED:

A. One creating operator's ownership or other right to use; and

B. Any lease, license, franchise, reciprocal agreement, or other agreement entitling operator

to use the camping resort, or restriction a purchaser's use of the camping resort or it's

amenities.

9. Describe completely all blanket encumbrances on the camping resort:

10. Describe the promotional plan to be used in offering membership interest or rights:

__________________________________________

_

__________________________________________

_

____________________________________

____________

_ _

____________________________________

________________________

______ _ _______________________________ _ ______ __________________________

____________________________________

________ _ _______________________________ _______ ___________________________

____________________________________

_______ _ _______________________________ _______ ___________________________

_________________________________________________________________________________________

*****

3

11. List all sales offices in Texas, providing complete name, address, and telephone numbers for each:

( ) ( )

12. List all states and foreign countries in which you have filed a registration or in which you have filed

the membership camping contract:

13. Describe completely all adverse orders, judgements, or decrees entered by a court or administration

agency in connection with any membership camping resort operated by you, or in which you had a financial

or fiduciary interest at the time of the order, judgement, or decree:

14. This application WILL NOT BE PROCESSED until copies of the following documents have been

received. Indicate below whether or not they are attached to this application.

A. Accurate operator's financial statement.

_____

_______________________________________

________________________________________

_____________________

____________________

_________ _______________ _________

_____________________________________

4

______ Yes No

B. The instrument to be delivered to a purchaser to evidence the purchaser's

membership in the membership camping resort.

______ Yes ______ No

C. Each agreement that a purchaser is required to execute.

______ Yes ______ No

D. All agreements between operator and any person owning, controlling, or managing

the membership camping resort.

______ Yes ______ No

E. The Membership Camping Resort Disclosure Statement required by Section

222.006(b) of the Texas Membership Camping Resort Act, and all reciprocal disclosure

statements required by Section 222.006(c).

______ Yes ______ No

Operator's Signature

Printed Name

(NOTE: If operator is a corporation or partnership, this application must be signed by an officer, or general partner, as

appropriate. This application may also be signed by an individual holding a power of attorney for this purpose from the operator.

A copy of the power of attorney must be attached or the application will not be processed.)

State of

County of

BEFORE ME, the undersigned, a Notary Public, on this day personally appeared

_________________________________________, known to me to be the person whose name is subscribed to

the foregoing instrument, and who being duly sworn, state that the foregoing statements are true and

correct.

Given under my hand and seal of office the day of , .

(Signature of Notary Public)

Print

Reset

************************************************************

5

MAIL THIS APPLICATION WITH THE $250.00 FILING FEE TO:

SECRETARY OF STATE

REGISTRATIONS UNIT

P. O. BOX 13550

AUSTIN, TX 78711-3550

FOR DELIVERY:

JAMES EARL RUDDER OFFICE BUILDING

1019 BRAZOS

AUSTIN, TX 78701

Fill Online, Printable, Fillable, Blank Form 3101: Membership Camping Resort Operator Registration Application (Texas Secretary of State) Form

Related forms

Fillable Form 3101: Membership Camping Resort Operator Registration Application (Texas Secretary of State)

Fill Online, Printable, Fillable, Blank Form 3101: Membership Camping Resort Operator Registration Application (Texas Secretary of State) Form

Related forms

First 20 documents completely FREE!