Get Va Scc759/921 2016

Scc.virginia.gov/clk. REVIEW THE INSTRUCTIONS THAT FOLLOW BEFORE SUBMITTING THIS FORM. INSTRUCTIONS TO FORM SCC759/921 This application which has been prescribed by the Commission is required to be filed with the Commission by a foreign corporation in order to obtain a certificate of registration to transact business in Virginia. white opaque paper free of visible watermarks and background logos. COMMONWEALTH OF VIRGINIA STATE CORPORATION COMMISSION SCC759/921 08/13 Print Form APPLICATION FOR A CERTIFICATE OF AUTHORITY TO TRANSACT BUSINESS IN VIRGINIA AS A FOREIGN CORPORATION The name of the foreign corporation is include if required any for use in Virginia name in parentheses State or other jurisdiction of incorporation Date of incorporation Period of duration Mark if applicable The corporation was previously authorized or registered with the Commission to transact business in Virginia as a foreign business entity. See Instructions. Set forth additional information on an attachment. The post office address including the street and number of the corporation s principal office is. number/street city or town state zip The corporation s registered agent in VIRGINIA is The registered agent is mark appropriate box 1 an individual who is a resident of Virginia and an officer of the corporation* a director of the corporation* a member of the Virginia State Bar. OR 2 a Virginia or foreign stock or nonstock corporation limited liability company or registered limited liability partnership authorized to transact business in Virginia* the business office of the registered agent is VA which is physically located in the county or city of OFFICERS NAME AND TITLE BUSINESS ADDRESS DIRECTORS NAME STOCK NUMBER OF SHARES AUTHORIZED TO BE ISSUED CLASS AND SERIES Signed in the name of the foreign corporation by signature printed name date telephone number optional title see Instructions for requisite signature Personal Information such as a social security number should NOT be included in a business entity document submitted to the Office of the Clerk for filing with the Commission* For more information see Notice Regarding Personal Identifiable Information at www. See 13. 1-604 and 13. 1-804 of the Code of Virginia* This form can be downloaded from our website at www. scc*virginia*gov/clk/formfee. aspx Name Set forth the name of the corporation exactly as it appears in its charter as amended without alteration or abbreviation* If the corporation is a stock corporation and its name does not contain the word corporation incorporated company or limited or the abbreviation Corp* Inc* Co. or Ltd. or it must adopt a designated name for use in Virginia that adds one of the foregoing words or Virginia* To check the availability of a corporate name or a designated name visit www. sccefile. scc*virginia*gov/NameAvailability or contact the Clerk s Office at 804 371-9733 or toll-free in Virginia 1-866-722-2551. of the Commission with if it is a stock corporation a corporate ending identified above. On the application after setting forth the corporation s true name set forth the for use in Virginia name in parentheses.