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Form Npf-1 - Application For Foreign Nonprofit Corporation Seeking Authorization To Do Business In Arkansas

Arkansas Secretary of State

Mark Martin

State Capitol • Little Rock, Arkansas 72201

501-682-3409 •

Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock

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, 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 street address of its principal office or place of business is: ___________________________________

________________________________________________________________________________________

6. The name and street 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)

□

Public-Benefit Corporation

Mutual-Benefit Corporation

Religious Corporation

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.

$300.00 Filing Fee payable to Arkansas Secretary of State

NPF-1/Rev.03/12

Form Npf-1 - Application For Foreign Nonprofit Corporation Seeking Authorization To Do Business In Arkansas