STATE OF SOUTH CAROLINA
SECRETARY OF STATE
APPLICATION BY A FOREIGN NONPROFIT CORPORATION
FOR A CERTIFICATE OF AUTHORITY
TO TRANSACT BUSINESS
IN THE STATE OF SOUTH CAROLINA
TYPE OR PRINT CLEARLY IN BLACK INK
Pursuant to Section 33-31-1503 of the 1976 South Carolina Code of Laws, as amended, the undersigned
nonprofit corporation hereby applies for authority to transact business in the State of South Carolina, and
for that purpose, hereby submits the following statement:
1. The name of the foreign nonprofit corporation (or the fictitious name if its official name is
unavailable) is
2. The corporation is incorporated under the laws of
State or Country
3 The corporation was incorporated on
Month Day Year
and its duration is (complete “a” or “b”, whichever is applicable)
a. [ ] Perpetual
b. [ ]
4. The principal office of the foreign nonprofit corporation is
____________________________________________________________________________
Street Address
____________________________________________________________________________
City County State Zip Code
5. The registered office of the foreign corporation in South Carolina is
____________________________________________________________________________
Street Address
____________________________________________________________________________
City County State Zip Code
6. The name of the registered agent of the nonprofit corporation at that office is
____________________________________________________________________________
Print Name
I hereby consent to the appointment as registered agent of the corporation.
______________________________________
Agent’s Signature
Name of Corporation
7. Check whichever is applicable
1. [ ] The corporation has members, those who will vote for the board of directors
(see Section 33-31-140(23)
of the 1976 South Carolina Code of Laws, as
amended).
2. [ ] The corporation does not have members.
8. If the corporation had been incorporated in South Carolina, it would have been (check “a”,
“b”, or “c”, whichever is applicable, (see Section 33-31-1706) of the 1976 South Carolina Code of
Laws, as amended).
a. [ ] Public benefit corporation
b. [ ] Religious corporation.
c. [ ] Mutual benefit corporation.
9. The name and usual business address (with zip code) of the corporation’s directors (or those
persons who exercise the authority of directors if the corporation has no directors but has trustees
or other similar positions), and the name and usual business addresses (with zip code) of the
principal officers (or those who exercise such authority as officers if the corporation does not
designate officers):
a. Directors:
Name Business Address
Name Business Address
Name Business Address
b. Principal Officers:
Position Name Business Address
Position Name Business Address
Position Name Business Address
Date ______________________ ______________________________________
Name of Corporation
BY:___________________________________
Signature of Officer
______________________________________
Type or Print Name & Office
FILING INSTRUCTIONS
1. Two copies of this application, the original and either a duplicate original or a conformed copy, must be filed.
2. If space on this form is insufficient, please attach additional sheets containing a reference to the appropriate paragraph in
this form, or prepare this form by computer disk, which will allow additional space to be included on the form.
3. This form must be accompanied by an original certificate of existence, or a document of similar import, duly authenticated
by the Secretary of State or other official having custody of the corporate records in the State or country under whose law
it is incorporated within thirty days of the date that it is received by the Secretary of State of South Carolina for filing.
4. If the applicant corporation is adopting a fictitious name for use in South Carolina pursuant to section 33-31-1506(a) of the
1976 South Carolina Code of Laws, as amended, then a copy of the board of directors’ (or equivalent governing body)
resolution approving the fictitious name certified by the secretary (or equivalent officer/position) must be attached to this
application.
5. This application must be accompanied by the filing fee of $10.00, payable to the Secretary of State.
Return to: Secretary of State
1205 Pendleton Street, Suite 525
Columbia SC 29201
NOTE
THE FILING OF THIS DOCUMENT DOES NOT, IN AND OF ITSELF, PROVIDE AN EXCLUSIVE RIGHT TO USE THIS
CORPORATE NAME ON OR IN CONNECTION WITH ANY PRODUCT OR SERVICE. USE OF A NAME AS A TRADEMARK OR
SERVICE MARK WILL REQUIRE FURTHER CLEARANCE AND REGISTRATION AND BE AFFECTED BY PRIOR USE OF THE
MARK. FOR MORE INFORMATION, CONTACT THE TRADEMARKS DIVISION OF THE SECRETARY OF STATE'S OFFICE
.
Form Revised by South Carolina
Secretary of State, May 2011