General
Information
1.
Your Full Name:
2.
Your Home Address:
3.
Are you over 18?:
Yes
No
N/A
4.
Your Business Telephone Number:
5a.
Your Home/Other Telephone Number:
5 b.
Prefer to be called
Home /Other
Business
N/A
6.
What is your Social Security Number?
7.
What do you want to name your corporation?
(It must be unique in that no other corporation doing business
in the state can be using that name.)
8a.
Will the corporation have more than one
owner or investor?
Yes
No
N/A
8b.
If yes, List the names, addresses, social security numbers
of all persons who will have an ownership interest in the
corporation or who will be actively involved in the operation
of the corporation
8b(i).
Owner/Investor's Name
8b(i).
Owner/Investor's Name
8b(ii).
Address
8b(ii).
Address
8b(iii).
Telephone
8b(iii).
Telephone
8b(iv).
Social Security Number
8b(iv).
Social Security Number
8b(i).
Owner/Investor's Name
8b(i).
Owner/Investor's Name
8b.
Address
8b.
Address
8b.
Telephone
8b.
Telephone
8b.
Social Security Number
8b.
Social Security Number
9. If there is only one owner of the corporation, do you
want a simplified corporate form that allows you to operate
without a board of directors and allow one person to be
the only officer?
Yes
No
N/A
10.
What will the corporation do?
(Please
type in the box a few lines describing what the corporation
will do as specifically as possible.)
11.
Do the owners of the corporation require a professional
license such as a Physician, Attorney, Accountant, Realtor,
Veterinarian, Chiropractor, etc. to run the corporation?
Yes
No
N/A
12. What is the business address of the corporation?
(The corporation must have a street
address. No post office boxes allowed. Include County where
the business will be as part of the address. The address
can be your home address.)
13.
Who will be directors of the corporation? What are their
names, addresses, telephone numbers and social security
numbers?
( The
directors make the policy decisions and may not be actively
involved in the day to day operations of the corporation).
If
the corporation has more than two owners, the corporation
must have at least three directors. If the corporation has
less than three owners, you must have the same number of
directors as owners.
Normally
all owners should be directors of the Corporation.
13a(i).
Director's Name
13a(ii).
Director's Name
13a(i).
Address
13a(ii).
Address
13a(i).
Telephone
13a(ii).
Telephone
13a(i).
Social Security Number
13a(ii).
Social Security Number
13a(iii).
Director's Name
13a(iv).
Director's Name
13a(iii).
Address
13a(iv).
Address
13a(iii).
Telephone
13a(iv).
Telephone
13a(iii).
Social Security Number
13a(iv).
Social Security Number