Form 250 - Non-Profit Corporation Application For Certificate Of Authority - Rhode Island Secretary Of State - 1999

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Filing Fee: $50.00
ID Number: ____________
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Office of the Secretary of State
Corporations Division
100 North Main Street
Providence, Rhode Island 02903-1335
NON-PROFIT CORPORATION
____________
APPLICATION FOR CERTIFICATE OF AUTHORITY
(To Be Filed In Duplicate Original)
Pursuant to the provisions of Section 7-6-74 of the General Laws, 1956, as amended, the undersigned foreign non-profit
corporation hereby applies for a Certificate of Authority to conduct affairs in the state of Rhode Island, and for that purpose
submits the following statement:
1. The name of the corporation is
2. It is incorporated under the laws of
3. The date of its incorporation is
4. The address of its principal office in the state or country under the laws of which it is incorporated is:
5. The address of its proposed registered office in Rhode Island is
(Street Address, not P.O. Box)
, RI
and the name of its proposed registered agent in
(City/Town)
(Zip Code)
Rhode Island at that address is
(Name of Agent)
6. The specific purpose or purposes which it proposes to pursue in conducting its affairs in Rhode Island are:
Form No. 250
Revised: 01/99

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