Fillable Form SI-100 Mail Submission Cover Sheet

Fill Online, Printable, Fillable, Blank Form SI-100 Mail Submission Cover Sheet Form

Use Fill to complete blank online CALIFORNIA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form SI-100 Mail Submission Cover Sheet

On average this form takes 15 minutes to complete

The Form SI-100 Mail Submission Cover Sheet form is 6 pages long and contains:

  • 0 signatures
  • 3 check-boxes
  • 58 other fields

Country of origin: US
File type: PDF

BROWSE CALIFORNIA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Instructions for Completing the
Statement of Information (Form SI-100)
For faster processing, the required statement for most corporations can be filed online at https://businessfilings.sos.ca.gov.
Every California nonprofit, credit union and general cooperative corporation must file a Statement of Information with the
California Secretary of State, within 90 days of registering with the California Secretary of State, and every two years thereafter
during a specific 6-month filing period based on the original registration date, as described in the chart below. Changes to
information contained in a previously filed Statement of Information can be made by filing a new Form SI-100, completed in its
entirety. A California stock, agricultural cooperative or registered foreign corporation is not authorized to file Form SI-100 and
must file a Statement of Information using Form SI-550.
Status of Corporation: In order to file Form SI-100, the status of the corporation must be active or suspended on the records of
the California Secretary of State. The status of the corporation can be checked online on the Secretary of State’s Business Search
at BusinessSearch.sos.ca.gov. See the FTB Suspension section below for information about resolving an FTB suspended status.
Fees: See chart below. Checks should be made payable to the Secretary of State.
Copies: To obtain a copy or certified copy of this filed Statement of Information, include payment for copy fees and certification
fees at the time this Statement of Information is submitted. Copy fees are $1.00 for the first page and $.50 for each attachment
page. For certified copies, there is an additional $5.00 certification fee, per document.
Processing Times: For current processing times, go to www.sos.ca.gov/business/be/processing-times.
Type of Filing Description Form to Use Fee
Initial Filing The initial filing is due 90 days from the entity’s
registration date.
Statement of Information - Form SI-100 $20.00
Required
Periodic
Filing
• Credit Unions and Cooperative
Corporations: This statement is due
every year based on the entity’s
registration date.
• California Nonprofit Corporations: This
statement is due every two years based
on the entity’s registration date.
• The filing period includes the registration
month and the immediately preceding five
(5) months.
Statement of Information, - Form SI-100 $20.00
No Fee
Statement
A Statement of Information submitted before
the next required statement is due but after the
initial or required filing requirements have been
met to update information including changes to
information for the agent for service of process.
Statement of Information - Form SI-100 No Fee
Statutory Required 6 Month Filing Window for Corporations
Month of Registration
Statement of Information
Applicable Filing Period
First Day of
Through Last Day of
January August January
February September February
March October March
April November April
May December May
June January June
July February July
August March August
September April September
October May October
November June November
December July December
SI-100 - Instructions (REV 06/2019)
2019 California Secretary of State
bizfile.sos.ca.gov
If you are not completing this form online, please type or print legibly in black or blue ink. Complete the Statement of
Information (Form SI-100) as follows:
Item
Instruction
Tips
1.
Enter the name of the corporation exactly as it
appears on file with the California Secretary of
State, including the entity ending (ex: “Jones &
Company, Inc.” or “Smith Construction
Company”).
2. Enter the 7-digit file number issued to the
corporation by the California Secretary of State
at the time of registration.
• The 7-digit file number is provided by the Secretary of State
above the file stamp at the top of the corporation’s registration
document filed with the California Secretary of State.
• To ensure you have the correct file number and exact name of
the corporation, look to your registration document filed with the
California Secretary of State and any name change
amendments.
• Secretary of State Records can be accessed online through our
Business Search at BusinessSearch.sos.ca.gov. While
searching the Business Search, be sure to identify your
corporation correctly including the jurisdiction that matches your
corporation.
3a. Enter the complete street address, city, state,
and zip code of the corporation’s principal office
in California, if any.
• If the corporation has a principal office in California, the
complete street address is required, including the street name
and number, city and zip code.
• Address must be a physical address.
• Do not enter a P.O. Box address, an “in care of” address, or
abbreviate the name of the city.
3b. If different from the address in Item 3a, enter the
complete mailing address, city, state, and zip
code of the corporation.
• This address will be used for mailing purposes and may be a
P.O. Box address or “in care of” an individual or entity.
• Do not abbreviate the name of the city.
4. Enter the name and complete business or
residential address of the corporation’s:
a. Chief Executive Officer (i.e. president)
b. Secretary and
c. Chief Financial Officer (i.e. treasurer).
• Do not abbreviate the name of the city.
• Every corporation is required to have at least these 3 officers
• Any number of offices may be held by the same person unless
the articles of incorporation or bylaws provide otherwise, except,
in the case of a nonprofit public benefit or religious corporation,
neither the secretary nor the chief financial officer or treasurer
may serve concurrently as the president or chairperson of the
board (Section 5213 or 9213).
• An additional title for the Chief Executive Officer or Chief
Financial Officer may be added; however, the preprinted titles
on this form must not be altered, except in the case of a general
cooperative corporation, which may include the name and
address of its general manager instead of the name and
address of its chief executive officer. (Section 12570(a).)
• Unless the articles of incorporation or bylaws provide otherwise,
the president, or if there is no president, the chairperson of the
board, is the chief executive officer of the corporation.
• Unless the articles of incorporation or bylaws provide otherwise,
if there is no chief financial officer, the treasurer is the chief
financial officer of the corporation.
SI-100 - Instructions (REV 06/2019)
2019 California Secretary of State
bizfile.sos.ca.gov
5.
The corporation must have an Agent for
Service of Process.
There are two types of Agents that can be
named:
• an individual (e.g. owner, director or any other
individual) who resides in California with a
physical California street address; OR
• a registered corporate agent qualified with the
California Secretary of State.
• An Agent for Service of Process is responsible for accepting legal
documents (e.g. service of process, lawsuits, subpoenas, other
types of legal notices, etc.) on behalf of the corporation.
• You must provide information for either an individual OR a
registered corporate agent, not both.
• If using a registered corporate agent, the corporation must have a
current agent registration certificate on file with the California
Secretary of State as required by Section 1505.
5a & b.
If Individual Agent:
• Enter the name of the agent for service of
process and the agent’s complete California
street address, city and zip code.
• If an individual is designated as the agent,
complete Items 5a and 5b ONLY. Do not
complete Item 5c.
• The complete street address is required, including the street
name and number, city and zip code.
• Do not enter a P.O. Box address, an “in care of” address, or
abbreviate the name of the city.
• Many times, a small corporation will designate an officer or
director as the agent for service of process.
• The individual agent should be aware that the name and the
physical street address of the agent for service of process is a
public record, open to all (as are all the addresses of the
corporation provided in filings.)
5c.
If
Registered Corporate Agent
:
• Enter the name of the registered corporate
agent exactly as registered in California.
• If a registered corporate agent is designated
as the agent, complete Item 5c ONLY. Do
not complete Items 5a and 5b.
• Before a corporation is designated as agent for another
corporation, that corporation must have a current agent
registration certificate on file with the California Secretary of State
as required by Section 1505 stating the address(es) of the
registered corporate agent and the authorized employees that will
accept service of process of legal documents and notices on
behalf of the corporation.
• Advanced approval must be obtained from a registered
corporate agent prior to designating that corporation as your
agent for service of process.
• No California or foreign corporation may register as a California
corporate agent unless the corporation currently is authorized to
engage in business in California and is in good standing on the
records of the California Secretary of State.
• Provide your Registered Corporate Agent’s exact name as
registered with the California Secretary of State. To confirm that
you are providing the exact name of the Registered Corporate
Agent, go to https://businessfilings.sos.ca.gov/frmlist1505s.asp.
6. Check the box if the corporation is formed to
manage a common interest development. If the
corporation is not formed to manage a common
interest development, do not check the box and
proceed to Item 7.
• Common Interest Developments (CIDs) are a type of
organization of property owners that allow property owners to
pool resources to manage and share common areas and
facilities.
• Residential CIDs can be single-family detached houses, two-
story townhouses, garden-style units with shared “party walls,”
and apartment-like, multistory high rises.
• Commercial or industrial CIDs generally consist of individual
owners of property that share common space or facilities and
the use of the property is limited to only commercial and
industrial purposes.
• The most common type of association of property owners is
organized as a nonprofit mutual benefit corporation.
7. Type or print the date, the name and title of the
person completing this form and sign where
indicated.
SI-100 - Instructions
(REV 06/2019)
2019 California Secretary of State
bizfile.sos.ca.gov
Mail Submission Cover Sheet (Optional): To make it easier to receive communication related to this document, including the
purchased copy of the filed document, if any, complete the Mail Submission Cover Sheet. For the Return Address: Enter the
name of a designated person and/or company and the corresponding mailing address. Please note that the Mail Submission
Cover Sheet will be treated as correspondence and will not be made part of the filed document.
Where to File: The completed form along with the applicable fees can be mailed to Secretary of State, Statement of Information
Unit, P.O. Box 944230, Sacramento, CA 94244-2300 or delivered in person (drop off) to the Sacramento office, 1500 11th Street,
Sacramento, CA 95814.
Legal Authority: General statutory filing provisions are found in California Corporations Code sections 6210, 8210, 9660 or 12570
and California Financial Code section 14101.6. All subsequent statutory references are to the California Corporations Code,
unless otherwise stated. Failure to file this Statement of Information by the due date may result in the assessment of a $50.00
penalty. (Sections 6810, 8810, 9690 or 12670; California Revenue and Taxation Code section 19141.)
Common Interest Development Association: Every domestic nonprofit corporation formed to manage a common interest
development under the Davis-Stirling Common Interest Development Act (for example, a homeowners’ association) or the
Commercial and Industrial Common Interest Development Act also must file a Statement By Common Interest Development
Association (Form SI-CID) together with the Statement of Information (California Civil Code sections 5405 and 6760). Both forms
are available on the Secretary of State’s website at www.sos.ca.gov/business/be/statements.
FTB Suspension: If the corporation’s status is FTB suspended, the status must be resolved with the California Franchise Tax
Board (FTB) for the corporation to be returned to active status. For revivor requirements, go to FTB’s website at
https://www.ftb.ca.gov or contact FTB at (800) 852-5711 (from within the U.S.) or (916) 845-6500 (from outside the U.S.).
SI-100 - Instructions (REV 06/2019)
2019 California Secretary of State
bizfile.sos.ca.gov
Secretary of State
Business Programs Division
Statement of Information, P.O. Box 944230, Sacramento, CA 94244-2300
Mail Submission Cover Sheet
Instructions:
• Complete and include this form with your submission. This information only will be used to communicate with you
in writing about the submission. This form will be treated as correspondence and will not be made part of the filed
document.
• Make all checks or money orders payable to the Secretary of State.
• Standard processing time for submissions to this office is approximately 5 business days from receipt. All
submissions are reviewed in the date order of receipt. For updated processing time information, go to
www.sos.ca.gov/business/be/processing-times.
Optional Copy and Certification Fees:
• If applicable, include optional copy and certification fees with your submission.
• For applicable copy and certification fee information, refer to the instructions of the specific form you are submitting.
Entity Information: (Please type or print legibly)
Name: __________________________________________________________________________________________________________________
Entity Number (if applicable): _____________________________________
Comments:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Return Address: For written communication from the Secretary of State related to this document, or if purchasing a
copy of the filed document enter the name of a person or company and the mailing address.
Name:
Company:
Address:
City/State/Zip:
Secretary of State Use Only
T/TR:
AMT REC’D: $
Doc Submission Cover - SI (Est. 11/2016)
Print Form
Secretary of State
Statement of Information
(California Nonprofit, Credit Union and
General Cooperative Corporations)
SI-100
IMPORTANT — Read instructions before completing this form.
Filing Fee – $20.00;
Copy Fees – First page $1.00; each attachment page $0.50;
Certification Fee - $5.00 plus copy fees
1. Corporation Name (Enter the exact name of the corporation as it is recorded with the California
Secretary of State)
This Space For Office Use Only
2. 7-Digit Secretary of State File Number
3. Business Addresses
a. Street Address of California Principal Office, if any - Do not enter a P.O. Box City (no abbreviations) State
CA
Zip Code
b. Mailing Address of Corporation, if different than item 3a
City (no abbreviations) State Zip Code
4. Officers
The Corporation is required to enter the names and addresses of all three of the officers set forth below. An additional title for Chief Executive Officer
or Chief Financial Officer may be added; however, the preprinted titles on this form must not be altered.
a. Chief Executive Officer/ First Name
Middle Name
Last Name
Suffix
Address City (no abbreviations) State Zip Code
b. Secretary First Name
Middle Name
Last Name
Suffix
Address
City (no abbreviations)
State
Zip Code
c. Chief Financial Officer/ First Name
Middle Name Last Name Suffix
Address
City (no abbreviations)
State
Zip Code
5. Service of Process
(Must provide either Individual OR Corporation.)
INDIVIDUAL – Complete Items 5a and 5b only. Must include agent’s full name and California street address.
a. California Agent's First Name (if agent is not a corporation)
Middle Name
Last Name
Suffix
b. Street Address (if agent is not a corporation) - Do not enter a P.O. Box
City (no abbreviations) State
CA
Zip Code
CORPORATION – Complete Item 5c only. Only include the name of the registered agent Corporation.
c. California Registered Corporate Agent’s Name (if agent is a corporation) – Do not complete Item 5a or 5b
6. Common Interest Developments
Check here if the corporation is an association formed to manage a common interest development under the Davis-Sti
rling
Common Interest Development Act (California Civil Code section 4000, et seq.) or under the Commercial and Industrial Common
Interest Development Act (California Civil Code section 6500, et seq.). The corporation must file a Statement by Common Interest
Development Association (Form SI-CID) as required by California Civil Code sections 5405(a) and 6760(a). See Instructions.
7. The Information contained herein, including in any attachments, is true and correct.
_____________________ ____________________________________________________________ _________________________ ___________________________________
Date Type or Print Name of Person Completing the Form Title Signature
SI-100 (REV 06/2019)
2019 California Secretary of State
bizfile.sos.ca.gov
Clear Form
Print Form
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form SI-100 Mail Submission Cover Sheet

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 February 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document