Application for Authority to Transact Business--Nonprofit (Oregon)
This is for authority of a nonprofit corporation to transact business in Oregon. The form provided here is simply a sample of what the actual Form CR122 looks like.
CR122
Phone: (503) 986-2200
Fax: (503) 378-4381
Secretary of State
Corporation Division
255 Capitol St. NE, Suite 151
Salem, OR 97310-1327
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For office use only
Registry Number: ________________________________
Attach Additional Sheet if Necessary
Please Type or Print Legibly in Black Ink
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Application for Authority to Transact Business--Nonprofit
1) Name of Corporation ___________________________________
NOTE: Must be identical to the name on the Certificate of Existence. See #2)
2) Certificate of Existence. (This application must be accompanied by a certificate of existence, current within 60 days of deliver to this Division, authenticated by the official having custody of the corporate records in the jurisdiction of incorporation.)
____ Certificate attached
3) Date of Incorporation ___________________________________
Duration, if Not Perpetual ___________________________________
4) State or Country of Organization ________________________
5) Type of Corporation
____ Public Benefit
____ Mutual Benefit
____ Religious
6) Will the Corporation Have Members? ____ Yes ____ No
____ CHECK HERE TO INDICATE ON YOUR REGISTRATION THAT YOU DO NOT WANT MAIL SOLICITATION. PLEASE NOTE, THERE IS NO OBLIGATION ON THE PART OF PERSONS USING OUR LISTS TO REFRAIN FROM MAILING SOLICITATIONS. THE MARK IS SIMPLY INFORMATIONAL. ORS 56.022
7) Address of Principal Office of the Business
Address ____________________________________
City ____________________________________
State ____________________________________
Zip ____________________________________
8) Name of Oregon Registered Agent _______________________
9) Address of the Oregon Registered Office (Must be an Oregon Street Address which is identical to the registered agent's business office.)
Address ____________________________________
City ____________________________________
State ____________________________________
Zip ____________________________________
10) Address for Mailing Notices
Address ____________________________________
City ____________________________________
State ____________________________________
Zip ____________________________________
11) Name and Address of President and Secretary
President ____________________________________
Address ____________________________________
City ____________________________________
State ____________________________________
Zip ____________________________________
Secretary ____________________________________
Street Address ____________________________________
City ____________________________________
State ____________________________________
Zip ____________________________________
12) Execution
Printed Name ____________________________________
Signature ____________________________________
Title ____________________________________
13) Contact Name ____________________________________
Daytime Phone Number--Including Area Code ________________________
FEES
Please make check for $40 payable to "Corporation Division."