"Foreign Application for Transfer of Authority" - Massachusetts

Foreign Application for Transfer of Authority is a legal document that was released by the Secretary of the Commonwealth of Massachusetts - a government authority operating within Massachusetts.

Form Details:

  • Released on July 19, 2005;
  • The latest edition currently provided by the Secretary of the Commonwealth of Massachusetts;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Secretary of the Commonwealth of Massachusetts.

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Download "Foreign Application for Transfer of Authority" - Massachusetts

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F
The Commonwealth of Massachusetts
FPC
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512
Foreign Application For
FORM MUST BE TYPED
FORM MUST BE TYPED
Transfer of Authority
(General Laws, Chapter 156D, Section 15.23; 950 CMR 113.53)
(1) Exact name of corporation: ___________________________________________________________________________
(2) Type of other entity into which the corporation has converted: ________________________________________________
(3) Jurisdiction upon transfer of authority: __________________________________________________________________
(4) Attach an additional sheet(s) containing all other information required in a fi ling under the laws of the commonwealth by an
other entity of the type the corporation has become seeking authority to transact business in the commonwealth.
(5) Th is application is eff ective at the time and on the date approved by the Division, unless a later eff ective date is specifi ed in
accordance with the organic law of the surviving entity: _____________________________________________________
Attach certifi cate of legal existence or a certifi cate of good standing issued by an offi cer or agency properly authorized in the
jurisdiction of organization. If the certifi cate is in a foreign language, a translation thereof under oath of the translator shall be
attached.
Signed by: ___________________________________________________________________________________________ ,
(signature of authorized individual)
® Chairman of the board of directors,
® President,
® Other offi cer,
® Court-appointed fi duciary,
on this _________________________ day of_________________________________________
day of_________________________________________
day of
, _____________________ .
P.C.
c156ds1523950c11353 07/19/05
F
The Commonwealth of Massachusetts
FPC
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512
Foreign Application For
FORM MUST BE TYPED
FORM MUST BE TYPED
Transfer of Authority
(General Laws, Chapter 156D, Section 15.23; 950 CMR 113.53)
(1) Exact name of corporation: ___________________________________________________________________________
(2) Type of other entity into which the corporation has converted: ________________________________________________
(3) Jurisdiction upon transfer of authority: __________________________________________________________________
(4) Attach an additional sheet(s) containing all other information required in a fi ling under the laws of the commonwealth by an
other entity of the type the corporation has become seeking authority to transact business in the commonwealth.
(5) Th is application is eff ective at the time and on the date approved by the Division, unless a later eff ective date is specifi ed in
accordance with the organic law of the surviving entity: _____________________________________________________
Attach certifi cate of legal existence or a certifi cate of good standing issued by an offi cer or agency properly authorized in the
jurisdiction of organization. If the certifi cate is in a foreign language, a translation thereof under oath of the translator shall be
attached.
Signed by: ___________________________________________________________________________________________ ,
(signature of authorized individual)
® Chairman of the board of directors,
® President,
® Other offi cer,
® Court-appointed fi duciary,
on this _________________________ day of_________________________________________
day of_________________________________________
day of
, _____________________ .
P.C.
c156ds1523950c11353 07/19/05
COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Foreign Application For
Transfer of Authority
(General Laws, Chapter 156D, Section 15.23; 950 CMR 113.53)
I hereby certify that upon examination of this foreign application for transfer of
authority, duly submitted to me, it appears that the provisions of the General Laws
relative thereto have been complied with, and I hereby approve said application;
and the fi ling fee in the amount of $ ___________________________________
having been paid, said application is deemed to have been fi led with me this
_____________ day of _____________
day of _____________
day of
, 20______ , at _______a.m./p.m.
time
Eff ective date: _____________________________________________________
(must be within 90 days of date submitted)
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Filing fee: Minimum $250.00
Examiner
TO BE FILLED IN BY CORPORATION
Name approval
Contact Information:
C
___________________________________________________________
M
___________________________________________________________
# A.R.
___________________________________________________________
Telephone: ___________________________________________________
Email: ______________________________________________________
Upon fi ling, a copy of this fi ling will be available at www.sec.state.ma.us/cor.
If the document is rejected, a copy of the rejection sheet and rejected document will
be available in the rejected queue.
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