Missouri Foreign Cooperative Association Registration Form

For registering a foreign cooperation association in the State of Missouri, the following form has to be completed and submitted.

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JASON	K	ANDER	
SECRETARY OF	STATE	
STATE OF	M	ISSOURI	
CORPORATIONS(573) 751-4153 J	
AMES	C. K	IRKPATRICK	STATE	INFORMATION	CENTER	(573) 751-4936	
James C. Kirkpatrick State Information Center	
600 W. Main Street  Jefferson City 65101	
Administrative Rules  Business Ser vices  Elections  Publications  Securities  State Archives  State Librar y  Wolfner Librar y	
INSTRUCTIONS FOR
APPLICATION FOR CERTIFICATE OF AUTHORITY
TO DO BUSINESS IN MISSOURI FOR A COOPERATIVE ASSOCIATION
A foreign cooperative association may not transact business in Missouri until it obtains a certificate of authori-
ty. Before applying for a certificate to do business in Missouri, you may wish to review Section 351.1213.
RSMo, available online at www.sos.mo.gov/business/corporations/statutes.asp.
Enclosed are forms to be used to apply for a certificate of authority.  In completing the form, the following
will assist you:
1. The application must be accompanied by a current (dated within 60 days) “Certificate of Good
Standing/Existence” from the parent state. This must be an original with original seals and signatures. This
certificate can be obtained from the parent state’s Secretary of State or authority which issues corporate
charters; normally a fee is charged by the parent state for issuing this certificate.
2. The filing fee for a certificate of authority is $105. (Checks should be made payable to Director of
Revenue.)
3. By law, the cooperative must list a registered agent and the agent’s address in Missouri. The registered
agent may be an individual or a corporation registered in Missouri. A cooperative association may not
serve as its own registered agent.
4. The necessary documents should be sent to Secretary of State, Corporations Division, PO Box 778,
Jefferson City, MO 65102.  For express mailings which require a street address, use 600 West Main,
Jefferson City, MO 65101.
If you have any questions, please contact us toll-free at (866) 223-6535.
Best Regards,
Jason Kander
Secretary of State	
CA Ltr. 6A 08/11

Application for Certificate of Authority
For a Foreign Cooperative Association	
(Submit with filing fee of $105.00)	
1. The association name is 
and it is organized and existing under the laws of 
2. The name it will use in Missouri is 
(The name shall contain the designation “Cooperative Association,” “Co-op,” “Association,” or “C.A.”)
3. The date of its association was , and the period of its duration is	
month/day/year	
4. The address of its principal place of business is	Address City/State/Zip 	
5. The name and physical address of its registered agent and office in the State of Missouri is	
Name Address City/State/Zip 	
The Secretary of State is appointed as the agent of the foreign cooperative association for service of process if the association fails to
maintain a registered agent in Missouri or if the agent cannot be found or served in the exercise of due diligence.
6. The cooperative association’s purpose complies with Section 351.1006 RSMo.
In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)
Authorized Person Printed Name Title Date
Note: A current (not more than 60 days old) original certificate of good standing or certificate of existence must be submitted with this
application. This may be obtained from the Secretary of State or other authority that issues corporate charters in the state of domi-
cile.	
State of Missouri
Jason Kander, Secretary of State
Corporations Division
PO Box 778 / 600 W. Main St., Rm. 322
Jefferson City, MO 65102	
MDCCCXX	POPULISUPREMALEXESTO	SALUSUNITEDWESTANDDIVIDEDWEFALL
UNUMEPLURIBUS	
CA 42 (08/2011)	
Name and address to return filed document:
Name:
Address:
City, State, and Zip Code:

Registered Agents
A registered agent may either be an individual who is a resident of Missouri or it may be a corporation authorized to transact business
in Missouri. The registered agent’s business office address must be a physical address located in Missouri.
As required by law, the SOS office sends notices, reminders, and correspondence to the registered agent at the registered office ad-
dress. The registered agent is designated by law to receive service of process and legal notices on behalf of the business entity.
A post office box, UPS mailbox, or other rented mailbox is NOT allowed as a registered office address. The registered agent must be
physically located at the registered office address.
Anyone meeting the above criteria may serve as a registered agent. The following represents a listing of the service companies that, as a part
of their business, offer to act as a registered agent for a new business formation. If you would like to use their registered agent services,
please contact the company in advance of completing a limited liability company filing. These companies charge a fee to use their services.
Registered Agents/Service  Companies
$49 REGISTERED AGENT SERVICES, INC.
Todd A. Campbell, CPA, Attorney
5740 Osage Beach Parkway, Ste. 1005
Osage Beach, MO 65065
Telephone: (573) 348-2050 / FAX: (573) 693-7024
Email: 	
[email protected]	
0 MISSOURI AGENTS, INC.
200 NE Missouri Rd., Ste. 298
Lee’s Summit, MO 64086
Telephone: (816) 607-4926
Email: 	
[email protected]	
Website: 	www.MissouriRegisteredAgent.com	
007 AGENTS FOR BUSINESS, INC.
2531 Burchard Dr.
St. Louis 63136
Toll free: (877) 600-7007
Telephone: (314) 368-7570 / FAX: (314) 266-0235
Email: 	
[email protected]	
417 AGENTS,  INC.
Joseph J. Piatchek, Attorney
1200 E. Woodhurst Dr., Ste. T-200
Springfield, MO 65804
Telephone: (417) 882-5858 / FAX: (417) 882-5951
Email: 	
[email protected]	
Website: 	www.OzarksLawFirm.com	
AAA AGENT SERVICES, INC.
222 E. Dunklin, Ste. 102
Jefferson City, MO 65101
Telephone: (573) 634-3894 / FAX: (573) 634-5159
Email: 	
[email protected]	
ACCOUNTAX, INC.
11420 Gravois Rd.
St. Louis, MO 63126
Telephone: (314) 842-1313 / FAX: (314) 842-7045
Email: 	
[email protected]	
Website: 	www.accountax-stl.com	
AGENT SERVICES, INC.
106 E. Main St., PO Box 203
Lincoln, MO 65338
Toll free: (800) 371-9430 / FAX: (660) 547-9922
Email: 	
[email protected]	
ALETA GRIMES MITCHELL
1343 Hoffman Dr.
Jefferson City, MO 65101
Telephone: (314) 368-7570
Email: 	
[email protected]	
BARBARA D. GIER
13110 Gier Ln.
Russellville, MO 65074
Telephone: (573) 782-3931 / FAX: (573) 782-3831
Email: 	
[email protected]	
BUSINESS FILINGS INTERNATIONAL, INC.
120 S. Central Ave., Ste. 400
Clayton, MO 63105
Toll free: (800) 981-7183
CORPORATE CREATIONS NETWORK, INC.
1001 Craig Rd. #260
St. Louis, MO 63146
Toll free: (800) 672-9110
Telephone: (314) 667-5376
Website: 	
www.corporatecreations.com	
CORPORATE FILING SOLUTIONS, INC.
5860 E. Osage Ridge Ln.
Columbia, MO 65201
Telephone: (888) 237-3410 / FAX: (888) 331-0558
Email: 	
[email protected]	
Website: 	www.filingsmadeeasy.com	
CS AGENT SERVICES, INC.
9630 Clayton Rd.
Ladue, MO 63124
Telephone: (314) 442-0368 / FAX: (314) 535-2755

CSC-LAWYERS INCORPORATING SERVICE CO.
221 Bolivar St.
Jefferson City, MO 65101
Toll free: (800) 927-9800
Email: 	
[email protected]	
Website: 	www.incspot.com	
CSGS REGISTERED AGENT, INC.
7701 Forsyth, 12th Fl.
St. Louis, MO 63105
Telephone: (314) 505-5464 / FAX: (314) 505-5465
Email: 	
[email protected]	
CT CORPORATION SYSTEM
120 S. Central Ave.
Clayton, MO 63105
Telephone: (314) 863-5545
DANIEL R. JONES, ATTORNEY AT LAW, P.C.
1234 S Willow Ave.
Independence, MO 64052
Telephone: (816) 252-0205 / FAX: (816) 326-0110
Email: 	
[email protected]	
Website: 	www.dlawkc.com	
DEAN R. SPECKER, CPA, EA
Central Financial Services
501 B E. Young Ave.
Warrensburg, MO 64093
Telephone: (660) 747-9511 / FAX: (660) 747-9551
Cell: (816) 661-1790
ERESIDENTAGENT, INC.
222 E. Dunklin, Ste. 102
Jefferson City, MO 65101
Telephone: (310) 820-1000
FAX: (310) 820-1003
Email: 	
[email protected]	
Website: 	http://eminutes.com	
GREEN LAW FIRM, PC
300B E. High St.
Jefferson City, MO 65101
Telephone: (573) 636-9974 / FAX: (573) 635-4683
HEATHER L. JENKINS, C.P.A.
106 Sherman Way, Ste. 2
Nixa, MO 65714
Telephone: (417) 725-3924
FAX: (417) 724-8675
Email: 	
[email protected]	
Website: 	www.jenkinsCPA.com	
HUBCO REGISTERED AGENT SERVICES, INC.
222 E. Dunklin, Ste. 102
Jefferson City, MO 65101
Telephone: (800) 443-8177
FAX: (800) 293-4075
Email: 	
[email protected]	
Website: 	www.inc-it-now.com	
GLOBAL ENTERPRISE SERVICES, INC.
703 S. Main St., Ste. A
Chaffee, MO 63740-1011
Telephone: (573) 887-3399 / FAX: (573) 887-3388
INCORP SERVICES, INC.
2847 S. Ingram Mill Rd., Ste. A100
Springfield, MO 65804
Telephone: (702) 866-2500 / FAX: (702) 866-2689
Website: 	
www.incorp.com	
INCORPORATING SERVICES, LTD
13110 Gier Ln.
Russellville, MO 65074
Contact: Wanda Blankenship
Toll free: (800) 346-4646
Email: 	
[email protected]	
Website: 	www.INCserv.com	
JEFF CITY FILING, INC.
222 E. Dunklin, Ste. 102
Jefferson City, MO 65101
Telephone: (573) 634-3894 / FAX: (573) 634-5159
Email: 	
[email protected]	
KRIS BOEVINGLOH
Boevingloh & Pliakos
Attorneys at Law
225 S. Meramec Ave., Ste. 301
Clayton, MO 63105
Toll free: (800) 989-1492
Telephone: (314) 989-1492 / FAX: (314) 269-1042
Email: 	
[email protected]	
Website: 	www.boevingloh.com	
LISA C. WRIGHT, CPA
5860 E. Osage Ridge Ln.
Columbia, MO 65201
Telephone: (573) 474-4961 / FAX: (573) 474-4961
Email: 	
[email protected]	
Website: 	www.lisacwrightcpa.com	
LYNN RICCI
Ricci - Law - Group
1200 S. Big Bend Blvd.
St. Louis, MO 63117
Telephone: (314) 647-1200 / FAX: (314) 647-8816
Email: 	
[email protected]	
Website: 	www.ricci-law.com	
MAYRA FLESNER
820 S. Main St., Ste. 200
St. Charles, MO 63301
Telephone: (636) 442-4529
FAX: (636) 410-7705
Email: 	
[email protected]	
Website: 	www.flesnerlaw.com

MBC BUSINESS SERVICES, INC.
460 Nichols Rd., Ste. 300
Kansas City, MO 64112
Telephone: (816) 585-7322 / FAX: (913) 928-6739
Email: 	
[email protected]	
Website: 	www.mbcbusinessservices.com	
MISSOURI BUSINESS SERVICES, INC.
1650 Des Peres Rd., Ste. 150
St. Louis, MO 63131
Toll free: (877) 323-7171
Telephone: (314) 822-7171 / FAX: (314) 822-7177
Email: 	
[email protected]	
Website: 	www.MObusinesslawcenter.com	
MISSOURI CORPORATE SOLUTIONS, INC.
2101 Corona Rd., Ste. 203
Columbia, MO 65203
Telephone: (573) 256-8989 / FAX: 256-5044
Email: 	
[email protected]	
NATIONAL CORPORATE RESEARCH, LTD.
222 E. Dunklin, Ste. 102
Jefferson City, MO 65101
Toll free: (888) 883-6300 / FAX: (217) 788-2804
Email: 	
[email protected]	
NATIONAL REGISTERED AGENTS, INC.
120 S. Central Ave., Ste. 400
Clayton, MO 63105
Telephone: (800) 550-6724
Email: 	
[email protected]	
Website: 	www.registeredagent.com	
NEWORLD, INC.
3023 Osage St.
St. Louis, MO 63118
Telephone: (314) 776-4748
Website: 	
www.neworld-corporate-friend.com	
Email: 	[email protected]	
NICHOLAS A. PARINO JR.
398 N. Clayview Dr.
Liberty, MO 64068
Telephone: (866) 953-7555 or (816) 476-3050
FAX: (888) 859-5945
Email: 	
[email protected]	
NORTHWEST REGISTERED AGENT SERVICE, INC.
200 NE Missouri Rd.
Lee’s Summit 64086
Telephone: (509) 768-2249
Email: 	
[email protected]	
Website: 	www.northwestregisteredagent.com	
OPTIMAL AGENT SERVICES, INC.
36 Four Seasons, Ste. 250
Chesterfield, MO 63017
Telephone: (314) 308-2900PACIFIC REGISTERED AGENTS, INC.
17295 Chesterfield Airport Rd., Ste. 200
Chesterfield, MO 63005
Toll free: (800) 535-4828
Email: 	
[email protected]	
PARACORP INCORPORATED
210 E. High St.
Jefferson City, MO 65101-3207
Toll free: (800) 533-7272
Email: 	
[email protected]	
Website: 	www.parasec.com	
PERRYMAN AND ASSOCIATES,  INC.
3000 E. Division St., Ste. A
Springfield, MO 65802
Telephone: (866) 994-4400
Email: 	
[email protected]	
P W P, INC.
That PAPER-WORK PLACE
106 E. Main St., PO Box 308
Lincoln, MO 65338
Toll free: (800) 371-9430
Website: 	
www.paperworkplace.com	
Website:	[email protected]	
RAYMOND LAMPERT
2847 S. Ingram Mill Rd., Ste. A-100
Springfield, MO 65804
Telephone: (417) 886-3330 / FAX: (417) 886-8186
Email: 	
[email protected]	
REBMAN, LINHARES & BEACHEM A PROFESSIONAL
CORPORATION
8000 Maryland Ave., Ste. 1060
St. Louis 63105-3762
Telephone: (314) 725-1118 / FAX: (314) 725-1026
Website: 	
www.rlblaw.net/	
REGISTERED AGENTS,  INC.
200 NE Missouri Rd., Ste. 298
Lee’s Summit 64086
Telephone: (509) 768-2249
Email: 	
[email protected]	
Website: 	www.northwestregisteredagent.com	
REGISTERED AGENT SOLUTIONS, INC.
3225-A Emerald Ln.
Jefferson City, MO 65109
Toll free: (888) 705-7274 / FAX: (888) 706-7274
Email: 	
[email protected]	
Website: 	www.rasi.com	
RICA GLOBAL INNOVATIONS CORPORATION
8055 Aline Ave.
St. Louis, MO 63134
Contact: Hal Ngoy
Telephone: (314) 400-7377, ext. 2405 / FAX: (888) 255-0439
Email: 	
[email protected]	
Website: 	www.ricaglobalinnovations.com

THOMAS APPLEWHITE
405 Washington Ave.
St. Louis, MO 63102
Telephone: (314) 231-7220, ext. 7750
FAX: (888) 785-4461
Email: 	
[email protected]	
TODD A.  CAMPBELL
Campbell Law
5740 Osage Beach Parkway, Ste. 1005
Osage Beach, MO 65065
Telephone: (573) 348-2050 / FAX: (573) 693-7024
Email: 	
[email protected]	
UNITED CORPORATE SERVICES, INC.
Elm Court Plaza
1739 E. Elm St., Ste. 101
Jefferson City, MO 65101