Form 254 "Application for Certificate of Withdrawal for a Foreign Non-profit Corporation" - Rhode Island

What Is Form 254?

This is a legal form that was released by the Rhode Island Secretary of State - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2020;
  • The latest edition provided by the Rhode Island Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 254 by clicking the link below or browse more documents and templates provided by the Rhode Island Secretary of State.

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Download Form 254 "Application for Certificate of Withdrawal for a Foreign Non-profit Corporation" - Rhode Island

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State of Rhode Island
Department of State - Business Services Division
Instructions for Filing
Application for Certificate of Withdrawal for a Foreign Non-Profit Corporation
Section 7-6-83
of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision. This form and the
information provided are not substitutes for the advice and services of an attorney and/or tax specialist.
All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety of methods
including, without limitations, inspections at our office, telephone inquiries and electronically through our online database.
This legal document should be typed. All illegible documents will be REJECTED.
How to complete the form:
How to pay the filing fee:
1. List the corporation’s ID number. The ID number can
The minimum filing fee is $10, payable either by mail
be found by looking up your entity in the
Corporate
via check made payable to RI Department of State
Database.
or in person via cash, credit card, or check at the
2. List the name of the corporation. The entity name can be
Business Services Division, 148 W. River Street, Ste. 1,
verified through the
Corporate
Database.
Providence, RI 02904. Contact our office at (401) 222-
3. List the state of formation under whose laws the
3040 for further information.
company is incorporated.
How to confirm your filing:
4. The corporation is not trasacting business in this state
and surrenders its authority to transact business in this
Entity records are retrievable and viewable through our
state.
website. Successful filings will NOT result in a mailed
5. The Department of State will receive future service of
confirmation. Filings that cannot be processed will
process for the non-profit corporation regarding the
be posted
online
and then returned. To confirm your
transaction of business in Rhode Island.
submission and obtain evidence of your filing:
6. List the address where the Department of State may
Go to our
Corporate Database
mail a copy of service of process against the corporation
Enter the name or ID number of your entity and click
received by the Department of State.
“Search”
7. The President OR Vice President AND the Secretary OR
Click on the link to your entity record, scroll down,
Assistant Secretary MUST sign and date the form.
select “All Filings” and then “View Filing”
Identify desired type of filing and click on “PDF”
under “View PDF” to view and print the record
FORM 254 - Revised: 08/2020
State of Rhode Island
Department of State - Business Services Division
Instructions for Filing
Application for Certificate of Withdrawal for a Foreign Non-Profit Corporation
Section 7-6-83
of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision. This form and the
information provided are not substitutes for the advice and services of an attorney and/or tax specialist.
All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety of methods
including, without limitations, inspections at our office, telephone inquiries and electronically through our online database.
This legal document should be typed. All illegible documents will be REJECTED.
How to complete the form:
How to pay the filing fee:
1. List the corporation’s ID number. The ID number can
The minimum filing fee is $10, payable either by mail
be found by looking up your entity in the
Corporate
via check made payable to RI Department of State
Database.
or in person via cash, credit card, or check at the
2. List the name of the corporation. The entity name can be
Business Services Division, 148 W. River Street, Ste. 1,
verified through the
Corporate
Database.
Providence, RI 02904. Contact our office at (401) 222-
3. List the state of formation under whose laws the
3040 for further information.
company is incorporated.
How to confirm your filing:
4. The corporation is not trasacting business in this state
and surrenders its authority to transact business in this
Entity records are retrievable and viewable through our
state.
website. Successful filings will NOT result in a mailed
5. The Department of State will receive future service of
confirmation. Filings that cannot be processed will
process for the non-profit corporation regarding the
be posted
online
and then returned. To confirm your
transaction of business in Rhode Island.
submission and obtain evidence of your filing:
6. List the address where the Department of State may
Go to our
Corporate Database
mail a copy of service of process against the corporation
Enter the name or ID number of your entity and click
received by the Department of State.
“Search”
7. The President OR Vice President AND the Secretary OR
Click on the link to your entity record, scroll down,
Assistant Secretary MUST sign and date the form.
select “All Filings” and then “View Filing”
Identify desired type of filing and click on “PDF”
under “View PDF” to view and print the record
FORM 254 - Revised: 08/2020
State of Rhode Island
Department of State - Business Services Division
STAMP
Certificate of Withdrawal
FOREIGN Non-Profit Corporation
FOR
SECRETARY OF STATE
USE ONLY
Filing Fee: $10.00
Pursuant to the provisions of RIGL 7-6-83, the undersigned foreign non-profit corporation hereby
applies for a Certificate of Withdrawal from the state of Rhode Island, and for that purpose submits
the following statement:
1. Entity ID Number:
2. The name of the corporation is:
4. The corporation is not trasacting business in this state and
3. It is incorporated
under the laws of:
surrenders its authority to transact business in this state.
5. It revokes the authority of its agent to accept service of process and consents that service of process in any action, suit
or proceeding arising out of the transaction of business in the state of Rhode Island, may thereafter be made on the non-
profit corporation by service thereof on the Department of State of the State of Rhode Island.
6. The post office address to which the Department of State may mail a copy of any process against the corporation that is
served on the Department of State:
Under penalty of perjury, we declare and affirm that we have examined this Application for Certificate of Withdrawal, and
that all statements contained herein are true and correct.
Type or Print the Name of
President or
Vice President
Date
Signature of President or Vice President
Type or Print the Name of
Secretary or
Assistant Secretary
Date
Signature of Secretary or Assistant Secretary
TWO SIGNATURES ARE REQUIRED
MAIL TO:
Division of Business Services
STAMP
148 W. River Street, Providence, Rhode Island 02904-2615
Phone: (401) 222-3040
Website: www.sos.ri.gov
FOR
SECRETARY OF STATE
USE ONLY
If you have any questions, please call us at (401) 222-3040, Monday through Friday,
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
FORM 254 - Revised: 08/2020
State of Rhode Island
Department of State - Business Services Division
Filer Contact Information
In the event our office needs more information in order to complete the filing of this
document, we ask for the filer’s contact information. All fields are REQUIRED.
Name:
Date:
Entity Name:
Street Address:
City:
State:
Zip Code:
Email Address:
Phone Number:
If you have any questions, please call us at (401) 222-3040, Monday through Friday,
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
FORM 254 - Revised: 08/2020
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