SECRETARY OF STATE STATE OF MISSOURI
|
|
- Daniel Spencer
- 5 years ago
- Views:
Transcription
1 JAMES. KIRKPATRIK STATE INFORMATION ENTER (573) ROBIN ARNAHAN SERETARY OF STATE STATE OF MISSOURI ORPORATIONS (573) INSTRUTIONS FOR APPLIATION FOR ERTIFIATE OF AUTHORITY TO DO BUSINESS IN MISSOURI FOR A OOPERATIVE ASSOIATION A foreign cooperative association may not transact business in Missouri until it obtains a certificate of authority. Before applying for a certificate to do business in Missouri, you may wish to review Section RSMo, available online at Enclosed are forms to be used to apply for a certificate of authority. In completing the form, the following will assist you: 1. The application must be accompanied by a current (dated within 60 days) ertificate of Good Standing/Existence from the parent state. This must be an original with original seals and signatures. This certificate can be obtained from the parent state s Secretary of State or authority which issues corporate charters; normally a fee is charged by the parent state for issuing this certificate. 2. The filing fee for a certificate of authority is $105. (hecks should be made payable to Director of Revenue.) 3. By law, the cooperative must list a registered agent and the agent s address in Missouri. The registered agent may be an individual or a corporation registered in Missouri. A cooperative association may not serve as its own registered agent. 4. The necessary documents should be sent to Secretary of State, orporations Division, PO Box 778, Jefferson ity, MO For express mailings which require a street address, use 600 West Main,. If you have any questions, please contact us toll-free at (866) Best Regards, Robin arnahan Secretary of State A Ltr. 6A 08/11 PO BOX 778 JEFFERSON ITY, MISSOURI
2 E P LU R IBUS U N U M E W U N ITED SALU S P O STAND M P U D L I D IVID ED FALL S U P R E M X X A W E LEX ESTO State of Missouri Robin arnahan, Secretary of State orporations Division PO Box 778 / 600 W. Main St., Rm. 322 Jefferson ity, MO Application for ertificate of Authority For a Foreign ooperative Association (Submit with filing fee of $105.00) 1. The association name is and it is organized and existing under the laws of 2. The name it will use in Missouri is (The name shall contain the designation ooperative Association, o-op, Association, or.a. ) 3. The date of its association was, and the period of its duration is month/day/year 4. The address of its principal place of business is Address ity/state/zip 5. The name and physical address of its registered agent and office in the State of Missouri is Name Address ity/state/zip The Secretary of State is appointed as the agent of the foreign cooperative association for service of process if the association fails to maintain a registered agent in Missouri or if the agent cannot be found or served in the exercise of due diligence. 6. The cooperative association s purpose complies with Section RSMo. In Affirmation thereof, the facts stated above are true and correct: (The undersigned understands that false statements made in this filing are subject to the penalties provided under Section , RSMo) Authorized Person Printed Name Title Date Note: A current (not more than 60 days old) original certificate of good standing or certificate of existence must be submitted with this application. This may be obtained from the Secretary of State or other authority that issues corporate charters in the state of domicile. Name and address to return filed document: Name: Address: ity, State, and Zip ode: A 42 (08/2011)
3 Registered Agents A registered agent may either be an individual who is a resident of Missouri or it may be a corporation authorized to transact business in Missouri. The registered agent s business office address must be a physical address located in Missouri. As required by law, the SOS office sends notices, reminders, and correspondence to the registered agent at the registered office address. The registered agent is designated by law to receive service of process and legal notices on behalf of the business entity. A post office box, UPS mailbox, or other rented mailbox is NOT allowed as a registered office address. The registered agent must be physically located at the registered office address. Anyone meeting the above criteria may serve as a registered agent. The following represents a listing of the service companies that, as a part of their business, offer to act as a registered agent for a new business formation. If you would like to use their registered agent services, please contact the company in advance of completing a limited liability company filing. These companies charge a fee to use their services. Registered Agents/Service ompanies $49 REGISTERED AGENT SERVIES, IN. Todd A. ampbell, PA, Attorney 5740 Osage Beach Parkway, Ste Osage Beach, MO Telephone: (573) / FAX: (573) michelle@campbelltaxlaw.com 0 MISSOURI AGENTS, IN. 200 NE Missouri Rd., Ste. 298 Lee s Summit, MO Telephone: (816) registeredagentservices@missouriregisteredagent.com Website: AGENTS FOR BUSINESS, IN Burchard Dr. St. Louis Toll free: (877) Telephone: (314) / FAX: (314) Info@007AgentsForBusiness.com AAA AARDVARK AARON S AGENTS ASSOIATION, IN orona Rd., Ste. 203 olumbia Telephone: (573) / FAX: (573) missouricorporate@gmail.com AAA AGENT SERVIES, IN. Telephone: (573) / FAX: (573) jcfiling@embarqmail.com AOUNTAX, IN Gravois Rd. St. Louis, MO Telephone: (314) / FAX: (314) greg@accountax-stl.com Website: AGENT SERVIES, IN. 106 E. Main St., PO Box 203 Lincoln, MO Toll free: (800) / FAX: (660) info@paperworkplace.com ALETA GRIMES MITHELL 1343 Hoffman Dr. Telephone: (314) aletagrimesmitchell@gmail.com BARBARA D. GIER Gier Ln. Russellville, MO Telephone: (573) / FAX: (573) gier@socket.net BUSINESS FILINGS INTERNATIONAL, IN. 120 S. entral Ave., Ste. 400 layton, MO Toll free: (800) APITOL ORPORATE SERVIES, IN. ORPORATE REATIONS NETWORK, IN raig Rd. #260 St. Louis, MO Toll free: (800) / Telephone: (314) Website: ORPORATE FILING SOLUTIONS, IN E. Osage Ridge Ln. olumbia, MO Telephone: (888) / FAX: (888) customerservice@filingsmadeeasy.com Website: S AGENT SERVIES, IN layton Rd. Ladue, MO Telephone: (314) / FAX: (314)
4 S-LAWYERS INORPORATING SERVIE O. 221 Bolivar St. Toll free: (800) SGS REGISTERED AGENT, IN Forsyth, 12th Fl. St. Louis, MO Telephone: (314) / FAX: (314) cavicchia@capessokol.com T ORPORATION SYSTEM 120 S. entral Ave. layton, MO Telephone: (314) DANIEL R. JONES, ATTORNEY AT LAW, P S Willow Ave. Independence, MO Telephone: (816) / FAX: (816) Dan@dlawkc.com Website: DEAN R. SPEKER, PA, EA entral Financial Services 501 B E. Young Ave. Warrensburg, MO Telephone: (660) ell: (816) FAX: (660) GLOBAL ENTERPRISE SERVIES, IN. 703 S. Main St., Ste. A haffee, MO Telephone: (573) / FAX: (573) INORP SERVIES, IN S. Ingram Mill Rd., Ste. A100 Springfield, MO Telephone: (702) / FAX: (702) Website: INORPORATING SERVIES, LTD Gier Ln. Russellville, MO ontact: Wanda Blankenship Toll free: (800) orders@inserv.com Website: JEFF ITY FILING, IN. Telephone: (573) / FAX: (573) jeffcityfiling@embarqmail.com LISA. WRIGHT, PA 5860 E. Osage Ridge Ln. olumbia, MO Telephone: (573) / FAX: (573) lcw@lisacwrightcpa.com Website: LYNN RII Ricci - Law - Group 1200 S. Big Bend Blvd. St. Louis, MO Telephone: (314) / FAX: (314) lynn@ricci-law.com Website: MB BUSINESS SERVIES, IN. 903 E. 104th, #610A Kansas ity, MO Telephone: (816) / FAX: (816) mbcservices@gmail.com Website: MISSOURI BUSINESS SERVIES, IN Des Peres Rd., Ste. 150 St. Louis, MO Toll free: (877) Telephone: (314) / FAX: (314) customerservice@mobusinesslawcenter.com Website: MISSOURI ORPORATE SOLUTIONS, IN orona Rd., Ste. 203 olumbia, MO Telephone: (573) / FAX: missouricorporate@gmail.com NATIONAL ORPORATE RESEARH, LTD. Toll free: (888) / FAX: (217) info@nationalcorp.com NATIONAL REGISTERED AGENTS, IN. 300 B E. High St. Telephone: (800) info@registeredagent.com Website: NORTHWEST REGISTERED AGENT SERVIE, IN. 200 NE Missouri Rd. Lee s Summit Telephone: (509) Sales@northwestregisteredagent.com Website: OPTIMAL AGENT SERVIES, IN. 36 Four Seasons, Ste. 250 hesterfield, MO Telephone: (314)
5 PAIFI REGISTERED AGENTS, IN. 150 White Oak Rd. Seligman, MO Toll free: (800) PARAORP INORPORATED 210 E. High St Toll free: (800) Website: PAT MILLER ORPORATE FILING SERVIE, IN. 601-A Scott Valley t. Telephone: (573) / FAX: (573) PERRYMAN AND ASSOIATES, IN E. Division St., Ste. A Springfield, MO Telephone: (866) steve@perrymancpa.com P W P, IN. That PAPER-WORK PLAE 106 E. Main St., PO Box 308 Lincoln, MO Toll free: (800) Website: Website: info@paperworkplace.com RAYMOND LAMPERT 2847 S. Ingram Mill Rd., Ste. A-100 Springfield, MO Telephone: (417) / FAX: (417) lampert343@hotmail.com REBMAN, LINHARES & BEAHEM A PROFESSIONAL ORPORATION 8000 Maryland Ave., Ste St. Louis Telephone: (314) / FAX: (314) Website: www. riblaw.net REGISTERED AGENTS, IN. 200 NE Missouri Rd., Ste. 298 Lee s Summit Telephone: (509) Sales@northwestregisteredagent.com Website: REGISTERED AGENT SOLUTIONS, IN A Emerald Ln. Jefferson ity, MO Toll free: (888) / FAX: (888) jgovernor@rasi.com Website: TODD A. AMPBELL ampbell Law 5740 Hwy. 54, Ste Osage Beach, MO Telephone: (573) / FAX: (573) michelle@campbelltaxlaw.com UNITED ORPORATE SERVIES, IN. Elm ourt Plaza 1739 E. Elm St., Ste. 101
SECRETARY OF STATE STATE OF MISSOURI
JAMES C. KIRKPATRICK STATE INFORMATION CENTER (573) 751-4936 JASON KANDER SECRETARY OF STATE STATE OF MISSOURI CORPORATIONS (573) 751-4153 INSTRUCTIONS FOR APPLICATION FOR CERTIFICATE OF AUTHORITY TO DO
More informationSECRETARY OF STATE STATE OF MISSOURI INSTRUCTIONS FOR APPLICATION FOR CERTIFICATE OF AUTHORITY TO DO BUSINESS IN MISSOURI
JAMES C. KIRKPATRICK STATE INFORMATION CENTER (573) 751-4936 JASON KANDER SECRETARY OF STATE STATE OF MISSOURI CORPORATIONS (573) 751-4153 INSTRUCTIONS FOR APPLICATION FOR CERTIFICATE OF AUTHORITY TO DO
More information1. Legal Name of Aggregator:
November 30, 2016 Ms. Debra A. Howland Executive Director and Secretary New Hampshire Public Utilities Commission 21 S. Fruit Street, Suite 10 Concord, NH 03301-2429 RE: RENEWAL FILING BY RISK SERVICES
More informationOGLALA SIOUX TRIBE BUSINESS CODE. Articles of Incorporation (Non-Profit)
FORM 15 ARTICLES OF INCORPORATION (NON-PROFIT) Document processing fee is $100.00 Fees & forms/cover sheets are subject to change. Documents must be typewritten or machine printed. ABOVE SPACE FOR OFFICE
More informationOKLAHOMA HORSE RACING COMMISSION 2800 N. LINCOLN BLVD., SUITE 220 OKLAHOMA CITY, OK (405)
OKLAHOMA HORSE RACING COMMISSION 2800 N. LINCOLN BLVD., SUITE 220 OKLAHOMA CITY, OK 73105 (405) 522-8167 CY 2019 RENEWAL APPLICATION FOR INDEPENDENT TESTING LABORATORY LICENSE The non-refundable license
More informationThe Co-operatives Act, 1996 Continuance (Jurisdictional)
Section 1: Entity Details Name Reservation Number: Reserved Entity Name: Has the entity ever been extra-provincially registered in Saskatchewan? Yes (do not complete Section 2) Entity Number in Saskatchewan:
More informationOnline Filing Guide for Charities and Professional Fundraisers
South Carolina Secretary of State Online Filing Guide for Charities and Professional Fundraisers April 2010 1205 Pendleton Street, Suite 525 Columbia, South Carolina 29201 www.sos.sc.gov Charitable Organizations
More information1 of 5. APPLICATION CHECKLIST - IMPORTANT - Submit all items on the checklist below with your application to ensure faster processing.
of Florida Florida Real Estate Commission Application for Branch Office Form # DBPR RE 8 1 of 5 APPLICATION CHECKLIST - IMPORTANT - Submit all items on the checklist below with your application to ensure
More informationCommonwealth Edison Company Renewable Energy Resource RFP Registration with PJM-EIS GATS
Commonwealth Edison Company Renewable Energy Resource RFP Registration with PJM-EIS GATS The Commonwealth Edison Company ( ComEd ) procurement plan provides for the procurement of Renewable Energy Credits
More information2016 National exam schedule
2016 National exam schedule Exams are offered at the following locations. These locations and dates are subject to change. Delaware Dover-Harrington Newark 12/14/15 01/09/16 02/01/16 02/20/16 03/14/16
More informationOFFICE OF THE MEMBERSHIP SECRETARY
CA Department of Justice, Missing Persons DNA Program 1001 West Cutting Blvd, Suite 110 (510) 620-3571 FAX (510) 231-8744 email: Michelle.Halsing@doj.ca.gov Dear Applicant, Enclosed is the necessary application
More informationOverview. IHCP Provider Name and Address Maintenance. indianamedicaid.com
Overview Form indianamedicaid.com Enrolled providers use this form to update the name and address information that is part of their Provider Profile. Four name/address types are maintained for each provider
More informationRequest to Access Personal Information
Request to Access Personal Information The Data Protection Act 1998 gives you the right to see a copy of the personal information that we hold about you, how we use it and who we may have shared it with.
More informationSDR EDUCATIONAL CONSULTANTS
Foreign Educational Equivalencies APPLICATION for EVALUATION www.sdreducational.org Email: info@sdreducational.org Personal Information (all information is required unless indicated as optional) Full Name:
More information- - QP Date of Birth 1 Owner 1 Corp. Officer 1 LLC Member 1 Employee 1 Partner 1 Other (specify below)
NEW MEXICO APPLICATION CONTRACTOR LICENSE AN INCOMPLETE, INCORRECT OR OTHERWISE DEFECTIVE APPLICATION WILL NOT BE PROCESSED APPLICATION FEES WILL NOT BE REFUNDED. PRINT CLEARLY, ALL CAPITALS, ONE LETTER
More informationIDAHO TRANSPORTATION DEPARTMENT DIVISION OF MOTOR VEHICLES TITLES UNIT REQUEST FOR QUOTATION (RFQ) IPRO RFQ # 09847
IDAHO TRANSPORTATION DEPARTMENT DIVISION OF MOTOR VEHILES TITLES UNIT REQUEST FOR QUOTATION (RFQ) IPRO SEURE POWER OF ATTORNEY 4-PART FORM The (ITD) seeks quotes from qualified vendors for the printing
More informationEthics and Professional Conduct for Colorado CPAs CR&R. Course #4000N Exam Packet
Ethics and Professional Conduct for Colorado CPAs CR&R Course #4000N Exam Packet ETHICS AND PROFESSIONAL CONDUCT FOR COLORADO CPAS CR&R (COURSE #4000N) COURSE DESCRIPTION This course is designed to meet
More informationAppendix B: Certified Technology Specialist Design (CTS-D) - Exam Application
Appendix B: Certified Technology Specialist Design (CTS-D) - Exam Application Section I: Summary of Eligibility Requirements To be eligible to take the CTS-D exam, a candidate must: Hold current certification
More informationMail Box Rental Service
Services Included: Mail Box Rental Service Business Hours Access Convenient Local Address Call-In Service to check your mail Immediate Availability Package Receiving Package Holding Size Personal Mail
More informationOverview. Filing an Amalgamation Application (Regular) Background. Downloads Download this overview for printing
Overview Filing an Amalgamation Application (Regular) The following overview provides information on how to file an Amalgamation Application (Regular) to amalgamate two or more BC companies. It also provides
More informationB.C. LLP Registration Information Form
B.C. LLP Registration Information Form Suite 1103-11871 Horseshoe Way Richmond, British Columbia V7A 5H5 Tel: 604-272-6960 Fax: 604-272-6959 Email: info@incorporate.ca Website: www.incorporate.ca Thank
More informationTechnologies de l information QUÉBEC HEALTH RECORD ACCESS TO INFORMATION AND RECTIFICATION POLICY
Technologies de l information QUÉBEC HEALTH RECORD ACCESS TO INFORMATION AND RECTIFICATION POLICY PRODUCED BY La Direction des communications du ministère de la Santé et des Services sociaux This document
More informationWe love small businesses. Sign up for your mailbox today at your locally owned The UPS Store:
FAQs We love small businesses. What will my mailing address look like? Your mailing address will be the address of The UPS Store location, with either PMB (private mailbox) or the pound symbol (#) designating
More informationBOARD OF THE BANK OF LITHUANIA. RESOLUTION No 46 ON THE REGULATIONS ON KEEPING THE PUBLIC REGISTER OF PAYMENT INSTITUTIONS. of 24 December 2009
BOARD OF THE BANK OF LITHUANIA Unofficial translation RESOLUTION No 46 ON THE REGULATIONS ON KEEPING THE PUBLIC REGISTER OF PAYMENT INSTITUTIONS of 24 December 2009 Vilnius Acting pursuant to Article 9
More informationTraining Handout: User Registration for Public Libraries
Training Handout: User Registration for Public Libraries Contents User Registration...3 Introduction...3 Before you begin...3 Checking to see if patron already exists in system...4 Registering a new patron...5
More informationVersion No: 1.0 Approved by: Francine Seskin Approved on: 3/28/2018
Page 1 of 8 CEA APPLICATION Seminar Type: Live Online On-demand (On Demand attendees must send a copy of Completion Certificate to fseskin@aeecenter.org before CEA application can be processed) Seminar
More informationWhen funds are deposited into an Account, a Deposit Receipt will be issued by Companies House containing the following details:
GUIDANCE NOTE 3 Opening an Account with Companies House Opening an account with Companies House will allow users to enjoy a more efficient service for over the counter or email requests. Should the user
More informationSAINT LUKES EAST HOSPITAL National Provider Identifiers Registry
1053353490 SAINT LUKES EAST HOSPITAL The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers
More informationStep 1. Step 2. Step 3 Choose a Mailbox Service Pricing Term (Check one gray box for your agreement sign up term)
The UPS Store 5883 1657 E Stone Dr Ste B Kingsport, TN 37660 Phone: 423-765-2679 Fax: 423-765-1409 Email: store5883@theupsstore.com Web: www.theupsstore.com/5883 Facebook: www.facebook.com/theupsstore5883
More informationRedirection Of Domestic Mail
APPLICATION FOR April 2017 Redirection Of Domestic Mail WHAT THE SERVICE OFFERS Jersey Post s domestic mail redirection services enables customers to have their mail redirected to an alternative address
More informationApplication For Mailbox Rental
Application For Mailbox Rental This Agreement made (date) by and between (name of applicant), hereinafter referred to as Applicant", and Mail Center (15727 S. Western Ave. Suite A, Gardena, CA 90247),
More informationThe data submitted in this application are covered by official/professional secrecy under Article 54 of Law 4261/2014.
ANNEX I APPLICATION FORM FOR AUTHORISATION AS A CREDIT INSTITUTION Instructions for completing the application form 1. The application form must be duly completed and signed by two authorised persons,
More informationPUBLIC UTILITY COMMISSION OF OREGON 550 CAPITOL STREET NE, STE. 215 PO BOX 2148 SALEM, OREGON (503) APPLICATION FOR CERTIFICATE OF
PUBLIC UTILITY COMMISSION OF OREGON 550 CAPITOL STREET NE, STE. 215 PO BOX 2148 SALEM, OREGON 97308-2148 (503) 378-8959 APPLICATION FOR CERTIFICATE OF AUTHORITY TO PROVIDE TELECOMMUNICATIONS SERVICE IN
More informationELECTOR ORGANIZATION ENDORSEMENT PACKAGE SCHOOL TRUSTEE
Use the Elector Organization Cover Sheet and Checklist Form ES1 to ensure that the Elector Organization Endorsement Package is complete and meets the legislative requirements of the School Act, Local Government
More informationMarked Clear/No Conflict Area of Excavation Cannot Be Determined
EXCAVATORS pdate SPRING 2018 1-800-DIG-RITE Call or Click 3 working days before you dig! Ticket Check Confirming Utility Response Save yourself time and money. Confirm utility response - Always check the
More informationSubmission Cover Page
Submission Cover Page Fees Correspondence related to this submission will be sent to you using the contact information provided in the Submitter Information section of the form. Submission Fee: $ (go to
More informationSubmission Cover Page
Submission Cover Page Fees Correspondence related to this submission will be sent to you using the contact information provided in the Submitter Information section of the form. Submission Fee: $ (go to
More informationADGM Companies Regulations Registrar s General Rules And Powers: Guidelines (April 2015)
ADGM Companies Regulations Registrar s General Rules And Powers: Guidelines (April 2015) CONTENTS Introduction Chapter 1. Powers which relate to the delivery of information Chapter 2. Powers to amend the
More informationMailbox Application Kit
The UPS Store Mantua #5991 1107 Mantua Pike Mantua, NJ 08051 Phone: 856-464-2100 Fax: 856-464-0444 Email: store5991@theupsstore.com The UPS Store Mantua #5991 Mailbox Application Kit Thank you for your
More informationAPPLICATION FOR SOLICITATION PERMIT CITY OF WACO, TEXAS
FILE NO. -052. APPLICATION FOR SOLICITATION PERMIT CITY OF WACO, TEXAS (Under authority of Chapter 13, Article IX, Division 1 Solicitation of the City of Waco Codes and Ordinances) Upon approval of your
More informationNortel I Securities Litigation Settlement c/o The Garden City Group, Inc. Claims Administrator P.O. Box 9000 #6446
Must be Postmarked No Later Than November 20, 2006 Nortel I Securities Litigation Settlement c/o The Garden City Group, Inc. NNY Claims Administrator P.O. Box 9000 #6446 *P-NNYF-POC/1* Merrick, NY 11566-9000
More informationIncludes all of the following a value of over $695:
2011 Product Catalog Quality, affordable tax preparation solutions for professionals save over $136 2011 Preparer s 1040 Bundle... $559 Includes all of the following a value of over $695: Preparer s 1040
More informationRESOLUTION DIGEST
RESOLUTION 07-02-04 DIGEST Consumer Sales: Service of Process on Designated Agent Amends Business and Professions Code section 17538.5 to provide that personal service of process may be effected via delivery
More informationState of New Hampshire APPLICATION FOR REGISTRATION OF TRADE NAME CLEARWATER
Filing fee: $50.00 Use black print or type. S tate of New Hampshire Filed Date Filed: 0711712015 eusiness ID: 729246 William M. Gardner LSecretarY of State FormTN~~ RSA 349 APPLICATION FOR REGISTRATION
More informationIf you have any questions, please contact the Enrollment Department at , Option 1.
1755 Telstar Drive, Ste 400 Colorado Springs, CO 80920 www.optum.com Value Options Multiple user ids Thank you for choosing Electronic Network Systems Clearinghouse, a division of Optum, to submit your
More informationSend completed form to or (Fax) F&I Express Dealer Desk: : Ext. 1
Third Party Authorization and Agreement for F&I Express econtracting Dealership Name Address City State Zip Code Phone Arkona DMS Information Enterprise Code Company Number Server OpenTrack Vendor Access
More informationAppendix B: Certified Technology Specialist - Installation (CTS-I) Exam Application
Appendix B: Certified Technology Specialist - Installation (CTS-I) Exam Application Section I: Summary of Eligibility Requirements In order to be considered eligible to sit for the CTS-I certification
More informationInternet Banking Enrollment Form
Internet Banking Enrollment Form Please fill out the enrollment form below, print a copy for your records and also a copy to send to the bank. Please mail to PO Box 8, New Albin, IA 52160. If you have
More informationVersion No: 1.0 Approved by: Francine Seskin Approved on: 3/28/2018. CEA Exam with Live In-House Seminar Version
Page 1 of 8 Effective 4/1/2018 CEA APPLICATION CEA Exam with Live In-House Seminar Version Seminar Name/Date/Location (required) NOTE: The following information is to be filled out as completely as possible.
More informationSubmission Cover Page
Submission Cover Page Fees Correspondence related to this submission will be sent to you using the contact information provided in the Submitter Information section of the form. Submission Fee: $ (go to
More informationStatement of Correction Revoking a Filed Document filed pursuant to of the Colorado Revised Statutes (C.R.S.)
Document processing fee If document is filed on paper $150.00 If document is filed electronically Not available For more information or to print copies of filed documents, visit www.sos.state.co.us. Must
More informationSubmission Cover Page
Submission Cover Page Fees Correspondence related to this submission will be sent to you using the contact information provided in the Submitter Information section of the form. Submission Fee: $ (go to
More informationCLTC RE-CERTIFICATION Candidate Information & Application
CLTC RE-CERTIFICATION Candidate Information & Application CLTC Re-certification Springfield, OH 45504-1568 Fax: 703-940-4089 PHILOSOPHY It is the responsibility of LTC certified nurses to maintain their
More informationOrganic Certification Procedures and Costs 1
HS971 Organic Certification Procedures and Costs 1 James J. Ferguson 2 Production and handling operations applying for initial or ongoing organic certification must comply with regulations established
More informationOregon Clinical Radiologic Proficiency Certificate: Pathway II 2017 Certificate Application This application will be accepted through Dec. 31, 2017.
Dental Assisting National Board, Inc. Fee: $150 Measuring Dental Assisting Excellence 2017 Certificate Application This application will be accepted through Dec. 31, 2017. This application is for dental
More informationForm 1099 Filing for Desktop QuickBooks Users
RESOURCE Updated November 2017 Form 1099 Filing for Desktop QuickBooks Users Overview of 1099s: 1099s are similar to a W 2 form, but are for non employees. Businesses are required to issue 1099s to noncorporate
More informationDate Subject Message 02/02/15 PDF Files All PDF files are Fillable PDF Forms. You have to download the file to your computer, fill out the form, save
Date Subject Message 02/02/15 PDF Files All PDF files are Fillable PDF Forms. You have to download the file to your computer, fill out the form, save the form, and upload the form to the "response attachments"
More informationPlease read all information and instructions before completing the application form.
Dear International CNT Applicant, Thank you for your interest in the Clean Needle Technique (CNT) course, administered by the Council of Colleges of Acupuncture and Oriental Medicine (CCAOM). Successful
More informationEscapees Temporary Mail Service Agreement 101 Rainbow Drive, Livingston, TX
Escapees Temporary Mail Service Agreement 101 Rainbow Drive, Livingston, TX 77399-9330 936-327-8873 888-757-2582 mailservice@escapees.com Date processed: PMB #: Member name(s): SKP #: Send packet to: Permanent
More informationMEDICAID FLORIDA ELECTRONIC REMITTANCE ADVICE ENROLLMENT INSTRUCTIONS 77027
MEDICAID FLORIDA ELECTRONIC REMITTANCE ADVICE ENROLLMENT INSTRUCTIONS 77027 HOW LONG DOES PRE-ENROLLMENT TAKE? Please allow 3 weeks for processing. HOW DO I ENROLL / WHAT FORM(S) SHOULD I DO? Option 1:
More informationCUMBRE VISTA HOMEOWNERS ASSOCIATION, INC. RECORDS INSPECTION AND COMMUNICATIONS POLICY AND PROCEDURE. 1-Pl) ~ \ 1
CUMBRE VISTA HOMEOWNERS ASSOCIATION, INC. RECORDS INSPECTION AND EMAIL COMMUNICATIONS POLICY AND PROCEDURE Effective Date: ~ \ 1 1-Pl) Pursuant to Article XIII of the Association's Bylaws, "records and
More informationApplication and Instructions for Firms
United States Environmental Protection Agency Office of Prevention Pesticides, and Toxic Substances EPA 747-B-99-001 March 2010 https://www.epa.gov/lead Application and Instructions for Firms Applying
More informationOGLALA SIOUX TRIBE BUSINESS CODE. Statement of Interest Exchange
FORM 12 STATEMENT OF INTEREST EXCHANGE Document processing fee is $100.00 Fees & forms/cover sheets are subject to change. Documents must be typewritten or machine printed. ABOVE SPACE FOR OFFICE USE ONLY
More informationHOW TO OBTAIN A LP/CNG DEALER S LICENSE
HOW TO OBTAIN A LP/CNG DEALER S LICENSE Review your application thoroughly for completeness and correctness before submitting it for processing. INCOMPLETE SUBMISSIONS WILL NOT BE PROCESSED. If your packet
More informationCustomer Packet
Customer Packet www.priority1inc.com 1 Welcome to Priority1 Our mission is to be the innovator and leader establishing lifelong partnerships with our customers, employees, and vendors by exceeding their
More informationAccountancy Civil Engineer Local Authority Housing Architect Committees Secretarial Building Trade Legal Surveyor Other Please specify:
What Membership is available? LAS membership is available to those who own an ex-local authority property in Southwark. Do you have any knowledge/expertise in any of the following and/or would you be able
More informationWritten Communication: Freedom of Information Request
Dr. Nicholas D. Wahl Dr. Bruce Law Troy A. Courtney Dr. Joyce Powell Jeffrey T. Eagan Superintendent of Assistant Superintendent Director of Director of Business Manager Schools for Instruction Human Resources
More informationThe UPS Store XXXX Mailbox Application Kit
The UPS Store 0053 Street Address: 19785 W 12 Mile Rd. Southfield, MI 48076 Phone: 248-559-1690 Fax: 248-559-5884 Email: store0053@theupsstore.com The UPS Store XXXX Mailbox Application Kit Thank you for
More informationTHE UNIVERSITY OF TENNESSEE Purchasing Department 5723 Middlebrook Pike Knoxville, TN 37921
DocuSign Envelope ID: 835F4F2C-A64C-4E4B-AD22-9C9FE6F0409E THE UNIVERSITY OF TENNESSEE Purchasing Department 5723 Middlebrook Pike Knoxville, TN 37921 Page 1 of 2 Ship To: C/O Department All University
More informationCONVENIENT AFFORDABLE DISTINCTIVE. make an impression with PERSONALIZED STAMPED ENVELOPES AND CARDS. ORDER ONLINE! Visit usps.
CONVENIENT AFFORDABLE DISTINCTIVE mith any lly S Comp r. Mo 987 Mrs h Moto treet 02-9 t S Smi ater, IL 627 W 724 ngfield i Spr make an impression with PERSONALIZED STAMPED ENVELOPES AND CARDS ORDER ONLINE!
More informationQuail Ridge Homeowners Association, Inc.
Quail Ridge Homeowners Association, Inc. Breakdown of Dues Paid The information provided below is not meant to cover all aspects of the Quail Ridge Covenants but the Board has provided below a summary
More informationTRANSACTION CHECKLIST - IMPORTANT - Submit all items on the checklist below with your form to ensure faster processing.
State of Florida Florida Real Estate Commission Demographic Changes and Duplicate License for Real Estate Individuals Form # DBPR RE 10 1 of 5 TRANSACTION CHECKLIST - IMPORTANT - Submit all items on the
More informationFAMILY COURT SERVICES - ROOM WEST ADAMS STREET, JACKSONVILLE, FL (904)
FAMILY COURT SERVICES - ROOM 2150 501 WEST ADAMS STREET JACKSONVILLE FL 32202 (904) 255-1060 CHECKLIST FOR: MOTION TO CORRECT DOMESTIC RELATIONS DEPOSITORY RECORDS Use this form if your balance on your
More informationPCB UPDATE RCS PCB Management & Record-keeping Workshops
PCB UPDATE 2019 RCS PCB Management & Record-keeping Workshops Attached is your packet for the 2019 RCS Regional Workshops. Included are the workshop locations and hotel information as well as workshop
More informationPersonal Data Access Requests. A guide to accessing personal information held by the university
Personal Data Access Requests A guide to accessing personal information held by the university Version Control Document Name Guidance on Personal Data Access Requests Version Reference 1.0 Document Owner
More informationLaw Enforcement. Handbook
Law Enforcement Handbook May 4, 2016 Table of Contents Introduction... 3 Contact Information... 4 Subscriber Account Information... 5 1 Retention Policy... 7 Types of Legal Requests... 8 Reimbursement
More informationImportant Announcements
Important Announcements Regarding your funds The funds you currently have in your account are secure and safeguarded under, and according to, the regulatory guidelines of your state. We are unable to complete
More informationONLINE INSTRUCTIONS. Click Here to apply for a NEW Waste Tire Transporter Permit. Click Here to apply for a RENEWAL of a current permit.
All motor carriers who transport waste tires (tires that are no longer suitable for their intended purpose because of wear, damage, or defect) must obtain a Waste Tire Transporter Permit. A Waste Tire
More informationa) demonstrate knowledge of the Australian DNS and auda s Published Policies;
auda PUBLISHED POLICY Policy Title: REGISTRAR ACCREDITATION APPLICATION FORM Policy No: 2013-05 Publication Date: 17/10/2013 Status: Current 1. BACKGROUND 1.1 This document sets out the application form
More informationRegistration Statement Form 13(N) Extraprovincial Cooperative Association
Freedom of Information and Protection of Privacy Act (FOIPPA): Personal information provided on this form is collected, used and disclosed under the authority of the FOIPPA and the for the purposes of
More informationOntario Labour Relations Board
Ontario Labour Relations Board Frequently Asked Questions E-Filing 1. What is E-Filing? Electronic filing or E-filing is the ability to file forms and submissions online with the Ontario Labour Relations
More informationThe Interlocal Purchasing System (TIPS Cooperative) Supplier Response Bid Information Contact Information Ship to Information Bid Creator Mr. David Mabe National Address Region VIII Education Address Coordinator
More informationSubmission Cover Page
Submission Cover Page Fees Correspondence related to this submission will be sent to you using the contact information provided in the Submitter Information section of the form. Submission Fee: $ (go to
More informationMBC BUSINESS SERVICES, INC. AGREEMENT FOR REGISTERED AGENT SERVICES
MBC BUSINESS SERVICES, INC. AGREEMENT FOR REGISTERED AGENT SERVICES This AGREEMENT is made this day of, 201 (the Effective Date ) by and between MBC Business Services, Inc., a Missouri corporation ( MBC
More informationProvider Portal User Guide
Welcome to the Palm Beach Provider Web Portal The Palm Beach Provider Portal allows childcare providers with internet access the ability to submit their application for a School Readiness, Children Services
More informationGuidance to Completing a Change of Particulars (RBN3) Application Form
Guidance to Completing a Change of Particulars (RBN3) Application Form Issued: December 2016 Contents Introduction... 3 The application... 3 Processing time... 3 Fees... 3 Definitions and glossary of terms...
More informationAPPLICATION FOR ACCREDITATION OF CERTIFICATION BODIES
For office use: ENAO Acc. No Date of application First Accreditation Renewal of Accreditation 1.THIS FORM SHOULD BE COMPLETED IN FULL AND RETURNED TO : Ethiopian National Accreditation Office Attention:
More informationFAMILY COURT SERVICES - ROOM WEST ADAMS STREET, JACKSONVILLE, FL (904)
FAMILY COURT SERVICES - ROOM 2150 501 WEST ADAMS STREET JACKSONVILLE FL 32202 (904) 255-1060 CHECKLIST FOR: MOTION TO REINSTATE YOUR DRIVERS LICENSE Use this form if you have received a notice from the
More informationEthics and Standards of Conduct for Virginia CPAs. Course #4225J Exam Packet
Ethics and Standards of Conduct for Virginia CPAs Course #4225J Exam Packet ETHICS AND STANDARDS OF CONDUCT FOR VIRGINIA CPAS (COURSE #4225J) COURSE DESCRIPTION This course is designed to meet the specific
More informationBOROUGH MARKET (SOUTHWARK) TRUST DATA SUBJECT REQUEST FORM
BOROUGH MARKET (SOUTHWARK) TRUST DATA SUBJECT REQUEST FORM Your rights Under the General Data Protection Regulation (GDPR) you, the data subject, have the right to: 1. Receive a copy of the information
More informationNevada Contractors Board Directory
Nevada Contractors Board Directory Directory of Licensed Contractors Information current as of: 04/08/2018 2:17 am Location: 3M ROOFING 3046 ACHILLES DR RENO, NV 89512 Classification(s) License #: 0082232
More informationQNB Bank-ONLINE AGREEMENT
This is an Agreement between you and QNB Bank ("QNB"). It explains the rules of your electronic access to your accounts through QNB Online. By using QNB-Online, you accept all the terms and conditions
More informationThe UPS Store 4978 Mailbox Application Kit
The UPS Store 4978 519 Somerville Ave Somerville, MA 02143 Phone: 617.591.0199 Fax: 617.591.0299 Email: store4978@theupsstore.com The UPS Store 4978 Mailbox Application Kit Thank you for your interest
More informationAddendum StartPage : 0
1 n n 1 Control Number : 42731 Item Number : 1 Addendum StartPage : 0 ^.. ^ 4 txw Public Utility Commission of Texas 1701 N. Congress Avenue or P.O. Box 13326 Austin, Texas 78711-3326 512-936-7000. (Fax)
More informationEthics and Professional Conduct for Washington CPAs. Course #4300S Exam Packet
Ethics and Professional Conduct for Washington CPAs Course #4300S Exam Packet ETHICS AND PROFESSIONAL CONDUCT FOR WASHINGTON CPAS (COURSE #4300S) COURSE DESCRIPTION This course is designed to meet the
More informationCASINO LICENCE APPLICATION
Before completing the attached licence application form, please read the following information: CASINO LICENCE APPLICATION The attached casino licence application is comprised of three separate sections
More information2017 Accessibility compliance report
How to complete your accessibility compliance report You must complete the mandatory fields on each page before you can move to the next page. Mandatory fields are marked with an asterisk (*). To start,
More informationWELCOME TO DEER LAKE HOMEOWNERS ASSOCIATION, INC. INCLUDE YOUR ADDRESS ON THE CHECK. DO NOT SEND POST-DATED CHECKS. THEY WILL NOT BE ACCEPTED
WELCOME TO DEER LAKE HOMEOWNERS ASSOCIATION, INC. Dear Deer Lake Homeowner: Welcome to Deer Lake Homeowners Association. We are Schoo Management, Inc. and we manage the day-to-day affairs of your Association.
More informationApplication Form Part IV Landlord and Tenant Act 1987 Application for the variation of a lease or leases
Application Form Part IV Landlord and Tenant Act 1987 Application for the variation of a lease or leases It is important that you read the notes below carefully before you complete this form. Please write
More informationValue Options. Submit the completed Payer Request Form to: INSTRUCTIONS
Value Options Submit the completed Payer Request Form to: ABILITY Network, ATTN: Enrollment EMAIL: setup@abilitynetwork.com INSTRUCTIONS Complete all sections of the form if - You are a billing service
More information