Illinois Foreign Non Profit Articles of Incorporation Form

In the case of a foreign non-profit corporation wanting to become registered in the State of Illinois and able to conduct business operations in the state, the following form has to be completed and submitted along with a $50 filing fee.

Extracted Text for Proper Search

FORM 	NFP 	113.15	(re	v	.	Dec.	2003)	
APPLICA	TION 	FOR 	A	UTHORITY	
T	O 	CONDUCT 	AFF	AIRS 	IN	
ILLINOIS 	(F	oreign 	Cor	por	ations)	
General 	Not 	F	or 	Profit 	Cor	por	ation 	Act	
Secretar	y 	of 	State	
Depar	tment 	of 	Business 	Ser	vices	
Spr	ingfield, 	IL  	62756	
217-782-1834
www	.cyberdr	iv	eillinois.com	
Remit 	pa	yment 	in 	the 	for	m 	of 	a 	cashier’	s	
check, 	cer	tified 	chec	k, 	money 	order 	or 	an 	
Illinois 	attor	ne	y’	s 	or 	CP	A’	s 	check 	pa	y	ab	le 	
to 	Secretar	y 	of 	State	.	
____________________________________ 	File 	#______________________________    	Filing 	F	ee:	$50 	Appro	v	ed:	___________	
———— 	Submit 	in 	duplicate 	———— 	T	ype 	or 	Print 	c	learl	y 	in 	blac	k 	ink 	———— 	Do 	not 	write 	above 	this 	line 	———— 	
1.	a.	Cor	porate 	Name:	_____________________________________________________________________________	
b	.	Assumed 	Cor	por	ate 	Name 	(Complete 	only 	if 	the 	new 	corporate 	name 	is 	not 	a	v	ailable 	in 	this 	state	.):	
______________________________________________________________________________________________
By 	electing 	this 	assumed 	name	, 	the 	Cor	por	ation 	hereby 	ag	rees 	NO	T 	to 	use 	its 	cor	porate 	name 	in 	the 	tr	ansaction 	of	
b	usiness 	in 	Illinois	.	F	or	m 	NFP 	104.15 	is 	attached.	
2.	a.	State 	or 	Countr	y 	of 	Incor	poration:	_________________________________________________________________	
b	.	Date 	of 	Incor	poration:	__________________________________________________________________________	
c.	P	eriod 	of 	Duration:	_____________________________________________________________________________	
3.	a.	Address 	of 	Principal 	Office	, 	where	v	er 	located:	_______________________________________________________	
____________________________________________________________________________________________	
b	.	Address 	of 	Principal 	Office 	in 	Illinois:	______________________________________________________________	
____________________________________________________________________________________________	
4.	Name 	and 	Address 	of 	Registered 	Agent 	and 	Registered 	Office 	in 	Illinois:	
Registered 	Agent:	_______________________________________________________________________________	
First 	Name	Middle 	Name	Last 	Name	
Registered 	Office:	_______________________________________________________________________________	
Number	Street	Suite 	# 	(P	.O	.	Bo	x 	alone 	is 	unacceptable)	
Registered 	Office	_______________________________________________________________________________	
City	ZIP 	Code	County	
5.	States 	and 	Countr	ies 	in 	which 	Corporation 	is 	admitted 	or 	qualified 	to 	conduct 	aff	airs:	__________________________	
6.	Names 	and 	respectiv	e 	addresses 	of 	Cor	poration’	s 	officers 	and 	directors:	
Street 	Address	City                               	State       	ZIP	
President
Secretar	y	
Director
Director
Director	
If 	there 	are 	ad	ditional 	officer	s 	or 	more 	than 	three 	directors,	please 	attac	h 	list.	
Pr	inted 	b	y 	author	ity 	of 	the 	State 	of 	Illinois	.	J	une 	2006 	- 	5M 	- 	C 	160.14

7.	Pur	pose(s) 	f	or 	which 	the 	Cor	poration 	is 	organiz	ed 	and 	proposes 	to 	pursue 	in 	the 	conduct 	of 	aff	airs 	in 	this 	State:	
For 	more 	space	,	attac	h 	additional 	sheets 	of 	this 	siz	e	.	
8.	This 	application 	m	ust 	be 	accompanied 	by 	an 	originally 	cer	tified 	cop	y 	of 	the 	Ar	ticles 	of 	Incor	poration 	and 	an	y 	amend	-	
ments 	or 	mergers	, 	duly 	authenticated 	within 	the 	last 	90 	da	ys 	b	y 	the 	proper 	officer 	of 	the 	state 	or 	countr	y 	wherein 	the	
cor	poration 	is 	incor	porated.	
9.	The 	undersigned 	Cor	poration 	has 	caused 	this 	statement 	to 	be 	signed 	b	y 	a 	duly 	author	iz	ed 	officer 	who 	affir	ms	, 	under	
penalties 	of 	perjur	y	, 	that 	the 	f	acts 	stated 	herein 	are 	true 	and 	correct.	All 	signatures 	m	ust 	be 	in 	BLA	CK 	INK	.	
Dated 	_______________________________ 	,  	_____    	________________________________________________ 	
Month 	& 	Da	y	Y	ear	Exact 	Name 	of 	Cor	poration	
______________________________________	
An	y 	A	uthorized 	Officer’	s 	Signature	
______________________________________	
Name 	and 	Title 	(type 	or 	print)	
A 	Cor	por	ation 	that 	is 	to 	function 	as 	a 	club	, 	as 	defined 	in 	Section 	1-3.24 	of 	the 	Liquor 	Control 	Act 	of 	1934, 	m	ust 	inser	t 	in 	its	
pur	pose 	clause 	a 	statement 	that 	it 	will 	compl	y 	with 	the 	State 	and 	local 	laws 	and 	or	dinances 	relating 	to 	alcoholic	
liquor	s.	
Pr	inted 	b	y 	author	ity 	of 	the 	State 	of 	Illinois	.	J	une 	2006 	- 	5M 	- 	C 	160.14