Fillable JASON KANDER NONPROFIT CORPORATION APPLICATION FOR CERTIFICATE OF (How to Start a Business)

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JASON KANDER NONPROFIT CORPORATION APPLICATION FOR CERTIFICATE OF (How to Start a Business)

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JASON KANDER
SECRETARY OF STATE
STATE OF MISSOURI
CORPORATIONS
(866) 223-6535
J
AMES C. KIRKPATRICK
STATE INFORMATION CENTER
(573) 751-4936
James C. Kirkpatrick State Information Center
600 W. Main Street • Jefferson City 65101
Administrative Rules • Business Services • Elections • Publications • Securities • State Archives • State Library • Wolfner Library
NONPROFIT CORPORATION
APPLICATION FOR CERTIFICATE OF AUTHORITY
TO DO BUSINESS IN MISSOURI
Before qualifying to do business in Missouri, you may wish to review Section 355.751, which describes
exemptions from qualification for foreign corporations engaged in certain activities. If you are exempt, you
may still be responsible for filings with other agencies.
Enclosed are forms upon which you may apply for a certificate of authority. In completing the form, the fol-
lowing will assist you:
1. You must use our forms.
2. Forms must be accompanied by a current “Certificate of Good Standing/Existence” (within 60 days) from
the parent state. This must be an original with original seals and signatures. This certificate can normally
be obtained from your Secretary of State or authority which issues corporate charters, for a fee. We do not
require copies of Articles of Incorporation.
3. The filing fee is $25.00. (The check should be made payable to Director of Revenue)
4. By law, the corporation must list a registered agent and the agent’s address in Missouri.
5. The necessary documents should be sent to Secretary of State, Corporation Division, P.O. Box 778,
Jefferson City, MO 65102. For express mailings which require a street address, use 600 West Main,
Jefferson City, MO 65101.
If you have any questions, please contact us toll-free at (866) 223-6535.
Sincerely,
Jason Kander
Secretary of State
Ltr. 2A 10/12
Application for Certificate of Authority
of a Foreign Nonprofit Corporation
(Submit with filing fee of $25.00)
1. The Corporation’s name is
and it is organized and existing under the laws of
2. If the corporation’s name is unavailable, the name it will use in Missouri is
3. The date of its incorporation was , and the period of its duration is
month/day/year
4. The address of its principal place of business is
Address City/State/Zip
5. The name and physical address of its registered agent and office in the State of Missouri is
Name Address City/State/Zip
6. The names of its officers and directors and their business or home addresses are as follows (attach additional sheets as necessary):
Name Address City/State/Zip
President
Vice President
Secretary
Treasurer
Director
Director
7. The specific purpose(s) of its business in Missouri:
(Please see next page)
State of Missouri
Jason Kander, Secretary of State
Corporations Division
PO Box 778 / 600 W. Main St., Rm. 322
Jefferson City, MO 65102
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Corp. 55A (10/2012)
Name and address to return filed document:
Name:
Address:
City, State, and Zip Code:
This form is designed to be filled out online for your convenience.
Please read the instructions carefully. Complete the necessary
information, print, sign and mail.
Print
Reset
8. Does the corporation have members? Yes No
9. If incorporated in Missouri would the corporation be a public benefit or mutual benefit Corporation?
10. The effective date of this document is the date it is filed by the Secretary of State of Missouri unless a future date is otherwise
indicated:
Date may not be more than 90 days after the filing date in this Office
In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)
Authorized signature of officer or chairman of the board Printed Name Title Date
Note: You must submit a current (not more than 60 days old) certificate of good standing or certificate of existence with this applica-
tion. This may be obtained from the Secretary of State or other authority that issues corporate charters in your state of domicile.
Corp. 55A (10/2012)
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JASON KANDER NONPROFIT CORPORATION APPLICATION FOR CERTIFICATE OF (How to Start a Business)

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Completed 20 November 2020

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