Form 08-612 - Cpa Corporation Registration And Permit To Practice
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1
2
3CPA
State of Alaska
Department of Community and Economic Development
Division of Occupational Licensing
Alaska Board of Public Accountancy
P.O. Box 110806
Juneau, Alaska 99811-0806
(907) 465-3811
E-mail: license@dced.state.ak.us
CPA CORPORATION REGISTRATION AND
PERMIT TO PRACTICE
Nonrefundable Application Fee
$ 50.00
Make Checks Payable
Initial License Fee
$ 135.00
to the State of Alaska
TOTAL
$ 185.00
We hereby make registration for a permit to practice as a corporation of certified public accountants.
Firm Name:
Address:
Street
City
State ZIP Code
Daytime Telephone Number:
If the answer is yes to any of the questions below, please estimate the number of engagements annually.
Approximate Number
Does your firm perform:
YES
NO
of Engagements Annually
1. Governmental Audits ..............................................................
2. Other Audits ...........................................................................
3. Reviews ..................................................................................
4. Compilations ..........................................................................
We certify that:
1.
We are a corporation whereas the sole purpose and business of the corporation is to furnish the public services
not inconsistent with AS 08.04 and the regulations promulgated under it by the board.
2.
Each shareholder of the corporation is a certified public accountant of some state in good standing and is
principally employed by the corporation or actively engaged in its business; no other person has any interest in the
stock of the corporation; the principal officer of the corporation, and any office or director having authority over the
practice of public accountancy by the corporation, is a certified public accountant of some state in good standing.
3.
At least one shareholder of the corporation is a certified public accountant of Alaska and is in good standing.
4.
Except as otherwise provided in AS 08.04, each resident manager in charge of an office of the corporation in
Alaska and each shareholder or director personally engaged in Alaska in the practice of public accounting, is a
certified public accountant in Alaska in good standing.
We understand that:
1.
To facilitate compliance with the provisions of AS 08.04.240 relating to the ownership of stock, there must be a
written agreement binding the corporation or the qualified shareholders to purchase shares offered for sale by,
or not under the ownership or effective control of, a qualified shareholder and binding a holder, not a qualified
shareholder, to sell these shares to the corporation or the qualified shareholders; the agreement must be noticed
on each certificate of corporate stock, the corporation may purchase any amount of its stock for this purpose,
notwithstanding any impairment of capital, so long as one share remains outstanding.
2.
The corporation must be in compliance with those other regulations pertaining to corporations practicing public
accounting in this state that the board may prescribe. (Alaska Statute 08.04.240)
3.
Notification must be given to the board within one month after admission or withdrawal of a shareholder from
a corporation registered under this section.
08-612 (Rev. 9/00)
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