Wyoming Foreign Profit Corporation Domestication Form

If a foreign for-profit corporation that conducts business operations outside the State of Wyoming wanting to become authorized for carrying out business operations in the state, some paperwork needs to be completed. This form has to be filed with the Secretary of State’s office along with the required fees. The fee for this form is $100.

Extracted Text for Proper Search

For Office Use Only  	
 	Wyoming Secretary of State 	
  State Capitol Building, Room 110 
   200 West 24	th Street  
  Cheyenne, W Y 82002-0020 
  Ph. 307.777.7311 
  Fax 307.777.5339 
  Email: [email protected]	
    	
 	
FP -ArticlesDomestication  -  Revised  11/201 2	      	
 	
Foreign  Profit Corporation 
Articles of Domestication  	
 
Pursuant to W.S. 17-16-1801  of the Wyoming Business Corporation Act, the undersigned hereby applies for a 
Certificate of Domestication and for that purpose hereby submits Articles of Domestication.  
 
1. Corporation name: 
 
 
 
2.  Incorporated  under the laws of:  	
(State or country of incorpor ation) 	 
3. Date of incorpora tion: 	
  ( mm/dd/yyyy)  	 
4. Period of duration:  
(This is referring to the length of time the corporation  intends to exist and not the length of time it has been in existence. The most common 
term used is “perpetual.” You may refer to your Articles of Incorpor ation or contact the C orporations Division in your state of incorpor ation 
for your period of duration.)  
 
5. Mailing address of the corporation:   
 
 
 
 
 
6. P rincipal office  address: 
 
 
 
 
 
 
7. N ame and physical address of its registered agent: 
(The registered agent may be an individual resident in Wyoming, a domestic or foreign entity  authorized to transact business in  Wyoming, 
having a business offi ce identical with such registered office. The registered agent must have a physical address in Wyoming.  A Post Office 
Box or Drop Box is not acceptable. If the registered office includes a suite number, it must be included in the registered of fice address.) 
 
 
 
 
 
 
8. P urpose or purposes of the corporation which it proposes to pursue in the  transaction of business in Wyoming:

FP-ArticlesDomestica tion -  Revised  11/201 2	 
9. Names and usual business
 addresses of its current officers and directors:  	
 
Office	     Name	     Address	 	
 
President  
 
 
Vice Presiden t 
 
 
Secretary  
 
 
Treasurer  
 
 
Director 
 
 
Director 
 
 
Director 
 
 
 
10. The aggregate number of shares or other ownership units which it has the authority to issue,  itemized by classes, 
par value of shares, shares without par value and series, if any, within a class:  
 
    Number of Shares	      Class	                    Series	                              Par Value per Share	 	
 
 
11. The aggregate number of issued shares or other ownership units itemized by classes, par  value of shares, shares 
without par value and series, if  any, within a class: 
 
    Number of Shares	      Class	                    Series	                              Par Value per Share	 	
 
 
12. The corporation accepts the c onstitution of the state of Wyoming in compliance with the requirement of   
Article 10, Section 5 of  the Wyoming Constitution. 
 
 
 
Signature: ___________________________________________   Date: 
            (mm/dd/yyyy)  
Print Name: 
 
Title:       Contact Person:  
 
Daytime Phone Number:      Email:

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Other Requirements:  
•  An annual report will be due annually on the first day of the anniversary month of formation. If not paid 
within sixty (60) days from the due date, the entity will be subject to dissolution/revocation.  
 
Checklist	 
 
Filing Fee: $100.00   Make check or money order payable to Wyoming Secretary of State.  
          
 The application shall be executed by the Chairman of the Board, President or another of its officers. 
            The Articles must be accompanied by a written consent to appointment executed by the  registered agent. 
 
For consistency the Secretary of State’s Office will only keep one version of the agent’s name on file.  
           
A certified copy of its original	  articles of inc orporation and all amendments currently certified within the last   	
            six (6) months by the proper officer of the state or nation of formation.  
           	
The completed a pplication must be accompanied by an original certificate of existence/good s tanding, 
dated not more than thirty  (30) days prior to filing in Wyoming , duly authenticated by the Secretary of 
State or other official having custody of corporate records in the state or country of formation.  	
          
 Please submit one originally signe d document and one exact photocopy of the filing. 
           
Please review form prior to submitting to the Secretary of State to ensure all areas have been completed 
to avoid a delay in the processing of your documents.

Wyoming Secretary of State 	
 State Capitol Building, Room 110 
   200 West 24	th Street  
  Cheyenne, W Y 82002-0020 
  Ph. 307.777.7311 
  Fax 307.777.5339 
  Email: [email protected] wyo.gov	
 	
RAConsent  – Revised  12/11 	
 
Consent to Appointment  by Registered Agent  
 	
 
 
I,                                                                                                              \
                    , registered office located at   
    (name of registered agent)  
       
              voluntarily consent to serve   
 
                               
       	
*  (registered office  physical address, city, state & zip)  	
 
as the  registered agent for                                                                            \
                                                             	                                                            	 	
                                                              (nam e of business entity)  
 
I hereby certify that I am in compliance with the requirements of W.S. 17- 28-101 through W.S. 17- 28-111.   
 
 
Signature:__________________________________________   Date: 
                                       ( Shall be executed by  the registered agent .)                      (mm/dd/yyyy)  
 
Print Name:       Daytime Phone : 
 
Title:        Email: 
 
Registered Agent  Mailing Address 
 (if different than above) :	
 	
 
 
*If this is a new address,  complete the following: 
 
Previous Registered Office (s):  
I  hereby  certify that:  
•   After the changes are made, the street address of  my registered office and business office will be identical.  
•   This change affects every entity served by  me and  I have notified each entity of the registered office change.  
•   I certify t hat the above information is correct and I am in compliance with the requirements of W.S. 17 -28- 101 through   
W.S. 17 -28- 111.   
 
 
Signature:  __________________________________________   Date: 
                                       ( Shall be executed by  the registered agent .)                    (mm/dd/yyyy)   
 Checklist	 	
          Submit o ne originally signed  consent to appointment  and one exact photocopy.