Foreign Non-Profit Corporation
The Corporation was incorporated under the laws of the State of [State] in [Year] and has registered to do business within this State.
Tax ID number:
Principal Place of Business (Physical Address) in the State of Incorporation:
Registered Office Address within this State:
Name and address of Registered Agent:
I hereby certify under penalty of perjury of the laws of this state that the information listed above is true and correct to the best of my knowledge, and that I am an officer or director of this corporation with authority to sign and submit this report.