In order to register an out-of-state, non-profit foreign corporation in Wyoming, the following form has to be filed.Download
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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: Business@wyo.gov FNP -ArticlesDomestication – Revised 11/2012 Foreign Nonprofit Corporation Articles of Domestication Pursuant to W.S. 17-19-1702 of the Wyoming Nonprofit 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 nonprofit 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 Incorporation or contact the Corporations Division in your state of incorpor ation for your period of duration.) 5. Mailing address of th e nonprofit 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, h aving a business office 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 regi stered office address.) 8. The purpose or purposes of the nonprofit corporation which it proposes to pursue in the transaction of business in the state of Wyoming : FNP-ArticlesDomesticatio n – Revised 11/2012 9. The names and respective addresses of its officers and directors are: Office Name Address President Vice President Secretary Treasurer Director Director Director 10. This corporation is a (Check appropriate choice.) : a. Public benefit corporation b. M utual benefit corporation c. R eligious corporation 11. Does this corporation have members? Yes No 12. The corporation accepts the constitution of the state of Wyoming in compliance with the requirement of Article 10, S ection 5 of the Wyoming Constitution. Signature: ___________________________________________ Date: (May be executed by Chairman of Board, President or another of its officers .) (mm/dd/yyyy) Print Name: Contact Person: Title: Daytime Phone Number: Email: FNP-ArticlesDomesticatio n – Revised 11/2012 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. Checklis t Filing Fee: $25.00 Make check or money order payable to Wyoming Secretary of State. The Articles of Domestication must be accompanied by a written consent to appointment executed by the registered agent. For cons istency 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 incorporation 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 standing , 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 signed 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: Business@ 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.
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