Certificate by Regulatory Board of Incorporators, Officers, Directors, and Shareholders (Massachusetts)
This form certifies the corporate regulatory board, including incorporators, officers, directors, and shareholders to practice in the profession for the State of Massachusett. The form provided here is simply a basic structure for what you may need to actually have in order to certify your company's regulatory board. However, this will give you an idea of what you might need to certify your company's regulatory board.
The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
CERTIFICATE BY REGULATORY BOARD**
(General Laws, Chapter 112 or 221)
In compliance with General Laws, Chapter 156A, Section 7, the______________________ (Exact name of board)
hereby certifies that in connection with the incorporation of ___________________ , (Exact name of corporation)
a professional corporation formed to render ____________________________ services, (Type of professional service to be rendered) the below listed incorporators, officers, directors, and shareholders are duly licensed or admitted to practice the profession listed above.
INCORPORATORS
RESIDENTIAL ADDRESS
OFFICERS
RESIDENTIAL ADDRESS
DIRECTORS
RESIDENTIAL ADDRESS
SHAREHOLDERS
RESIDENTIAL ADDRESS
SIGNED this __________________ day of ______________, 20 ______,
by _____________________________________ , *Chairman / *Clerk.
*Delete the inapplicable word.
**Certain regulatory boards may require a fee for the issuance of this certificate.