$300.00 Filing Fee payable to Arkansas Secretary of State
NPF-1 Rev.08/15
APPLICATION FOR FOREIGN NONPROFIT CORPORATION
SEEKING AUTHORIZATION TO DO BUSINESS IN ARKANSAS
(PLEASE TYPE OR PRINT CLEARLY IN INK)
Pursuant to Act 1147 of 1993 and Arkansas Code Annotated § 4-33-1501, the undersigned Foreign Nonprofit Corporation
submits the following:
1a. The name of the corporation is:_____________________________________________________________________
1b. If the corporation is doing business in this state under another name, please state:_____________________________
2. The state, territory, or foreign country under whose laws the corporation was incorporated is:_____________________
3. The date of incorporation is:________________________________________________________________________
4. The period of duration is: __________________________________________________________________________
5. The address of its principal office or place of business is: ____________________________________________
______________________
6. The name and address of its registered agent for service of process in Arkansas is:
7. The names and addresses of the corporation’s current directors are:
8. Check the box if the corporation has members.
9. Had this corporation been incorporated in Arkansas, check the appropriate box to indicate what type of corporation it
would have been: (A.C.A. § 4-32-1707)
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of
State is a Class C misdemeanor and is punishable by a fine up to $100.00 and /or imprisonment up to 30 days.
Executed this ___________ day of _____________, __________________.
_______________________________________________ ______________________________________________
Signature of Presiding Director or Officer Presiding Director or Officer (Type or Print)
An original certificate of existence from the state of origin, dated in the past 30 days, must accompany the
application.
Arkansas Secretary of State
1401 W. Capitol, Suite 250, Little Rock, AR 72201
M
ark
M
artin
501-682-3409 • www.sos.arkansas.gov
_____________________________
_____________________________
City
State
ZIP Code
Street Address
___________________________________
_____________________________ ______________ __________
Street Address
City State ZIP Code
Name
Name
Name
S
treet A
ddress
Street Address
Street Address
City
City
City
Religious CorporationMutual-Benefit Corporation
Public-Benefit Corporation
S
tate
State
State
ZIP Code
ZIP Code
ZIP Code
Name:_________________________________________________________________________________________
