Legal Entity Form

Legal Entity Form
Date:

MonthDayYear
Date
Filling Information
(Entity Type) Please select
Corporate Name: blanks
Corporate Stock Shares: blank
Principal Place of Business
(The Principal address must be a street address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address

If your corporate mailing address is the same as the principal address above, please check the box below. Otherwise, enter your corporate mailing address.
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name And Address of Registered Agent
Name:

Last NameFirst NameInitials Title( Sr.Jr., Etc.)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Incorporator Name and Address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Corporation Purpose

Please check if the purpose is, “Any and all lawful business”.
Type a question
Correspondence Name And E-mail Address

Please enter your e-mail address carefully and verify that it is correct. This is the address correspondence pertaining to this filing and future annual report notices will be sent.
Name

First NameLast Name
E-mail Address:
example@example.com
Officer/Director Name and Address
Title: blanks(P, VP, etc.)
Name:

Last NameFirst NameInitials Title( Sr.Jr., Etc.)
-OR-
Business Name to serve as Officer: blanks
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Officer/Director Name and Address
Title: blanks(P, VP, etc.)
Name:

Last NameFirst NameInitials Title( Sr.Jr., Etc.)
-OR-
Business Name to serve as Officer: blanks
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Officer/Director Name and Address
Title: blanks(P, VP, etc.)
Name:

Last NameFirst NameInitials Title( Sr.Jr., Etc.)
-OR-
Business Name to serve as Officer: blanks
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Officer/Director Name and Address
Title: blanks(P, VP, etc.)
Name:

Last NameFirst NameInitials Title( Sr.Jr., Etc.)
-OR-
Business Name to serve as Officer: blanks
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Officer/Director Name and Address
Title: blanks(P, VP, etc.)
Name:

Last NameFirst NameInitials Title( Sr.Jr., Etc.)
-OR-
Business Name to serve as Officer: blanks
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

Legal Entity Form

Filling Information

Principal Place of Business

Mailing Address

Name And Address of Registered Agent

Incorporator Name and Address

Corporation Purpose

Correspondence Name And E-mail Address

Officer/Director Name and Address

-OR-

Officer/Director Name and Address

-OR-

Officer/Director Name and Address

-OR-

Officer/Director Name and Address

-OR-

Officer/Director Name and Address

-OR-