Indianapolis / Room E018 Indianapolis / Federal / /
Company
FOREIGN LLC / Nonprofit Corporation Ag / TYPE OF CORPORATION / Foreign Corporation / Business Corporation Professional Corporation / FOREIGN NONPROFIT CORPORATION / /
Currency
USD / /
IndustryTerm
bank account / /
Organization
Indiana Department of Revenue / Internal Revenue Service / State Board of Accounts / Board of Directors of the Corporation / Tax Administration / STATE CORPORATIONS DIVISION / No / Mailing Address Indiana Department of Revenue PO Box / Indiana Department of Revenue SF / Business Services Division / APPLICATION FOR CERTIFICATE OF AUTHORITY OF A FOREIGN LIMITED LIABILITY COMPANY State Form / /
Person
Mail / / /
Position
corporate officer / Governor / Chairman / manager / Responsible Officer Information Title Address City / Responsible Officer / Responsible Officer Information Complete / general business corporation / Signature Printed name CONNIE LAWSON SECRETARY / The undersigned officer / Responsible Officer Information Social Security / Responsible Officer Information forms / CONNIE LAWSON SECRETARY / Responsible Officer Information NOTICE / INDIANA The undersigned officer / Current Secretary / Current President / officer / Secretary of State / Indiana Secretary / INDIANA The undersigned manager / Responsible Officer Information This form / /