Form CSCL/CD-565 "Amended Application for Certificate of Authority to Conduct Affairs in Michigan for Use by Foreign Nonprofit Corporations" - Michigan

What Is Form CSCL/CD-565?

This is a legal form that was released by the Michigan Department of Licensing and Regulatory Affairs - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the Michigan Department of Licensing and Regulatory Affairs;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form CSCL/CD-565 by clicking the link below or browse more documents and templates provided by the Michigan Department of Licensing and Regulatory Affairs.

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Download Form CSCL/CD-565 "Amended Application for Certificate of Authority to Conduct Affairs in Michigan for Use by Foreign Nonprofit Corporations" - Michigan

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CSCL/CD-565
(10/17)
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
&
CORPORATIONS, SECURITIES
COMMERCIAL LICENSING BUREAU
(FOR BUREAU USE ONLY)
Date
Received
AC1
This document is effective on
the date filed,unless
a
subsequent
effective
date
within 90
days
after received
date
is
stated
in
the document.
Name
Address
City
State
Zip
code
EFFECTIVE
DATE:
Document will be returned
to
the name
and
address you enter above
AMENDED APPLICATION FOR CERTIFICATE OF AUTHORITY
TO CONDUCT AFFAIRS IN MICHIGAN
For
use by Foreign Nonprofit Corporations
(Please read
information and
instructions on
the last page)
162,
Pursuant
to
the
provisions
of Act
Public Acts
of
1982,
the undersigned corporation
executes
the following
Amended
Application:
1.
The name of the corporation is:
assumed name adopted
If the name in
Item
1
was not available
for
use
in
Michigan,
the
when
obtaining the
2.
Certificate of Authority is:
3.
The identification number assigned by the
Bureau
is:
4.
It
is
incorporated
under the
laws
of
5.
conduct affairs in
The corporation
was authorized
to
Michigan on
6.
The period of
its
duration
(corporation
term)
is
7.
If the name of the corporation
has
changed,
its new name is:
,
and the
the
effective
date of the name change was
the
day
of
name
change was made in
compliance with
the
laws
of
the jurisdiction
of
its
incorporation.
8.
7
Complete this Item only
if the
new
name in Item
is not available for use
in
Michigan.
The
assumed name
of
the
corporation
to be used
in all
its
dealings with the
Bureau
and in the transaction of its
business
in
Michigan is:
9.
If
the
assumed
name in
Item
2
has
changed,
the
new
name
is:
CSCL/CD-565
(10/17)
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
&
CORPORATIONS, SECURITIES
COMMERCIAL LICENSING BUREAU
(FOR BUREAU USE ONLY)
Date
Received
AC1
This document is effective on
the date filed,unless
a
subsequent
effective
date
within 90
days
after received
date
is
stated
in
the document.
Name
Address
City
State
Zip
code
EFFECTIVE
DATE:
Document will be returned
to
the name
and
address you enter above
AMENDED APPLICATION FOR CERTIFICATE OF AUTHORITY
TO CONDUCT AFFAIRS IN MICHIGAN
For
use by Foreign Nonprofit Corporations
(Please read
information and
instructions on
the last page)
162,
Pursuant
to
the
provisions
of Act
Public Acts
of
1982,
the undersigned corporation
executes
the following
Amended
Application:
1.
The name of the corporation is:
assumed name adopted
If the name in
Item
1
was not available
for
use
in
Michigan,
the
when
obtaining the
2.
Certificate of Authority is:
3.
The identification number assigned by the
Bureau
is:
4.
It
is
incorporated
under the
laws
of
5.
conduct affairs in
The corporation
was authorized
to
Michigan on
6.
The period of
its
duration
(corporation
term)
is
7.
If the name of the corporation
has
changed,
its new name is:
,
and the
the
effective
date of the name change was
the
day
of
name
change was made in
compliance with
the
laws
of
the jurisdiction
of
its
incorporation.
8.
7
Complete this Item only
if the
new
name in Item
is not available for use
in
Michigan.
The
assumed name
of
the
corporation
to be used
in all
its
dealings with the
Bureau
and in the transaction of its
business
in
Michigan is:
9.
If
the
assumed
name in
Item
2
has
changed,
the
new
name
is:
10. The name of the resident agent at the registered office
is:
The
address of
its
registered office in
Michigan is:
,
Michigan
(Street Address)
(City)
(Zip Code)
The
mailing
address of
the registered
office
in
Michigan,
if
different than
above,
is:
,
Michigan
(Street Address or P.O. Box)
(City)
(Zip Code)
The
resident agent
is an agent of the corporation upon whom process
against
the corporation may
be
served.
11. The address
of
the
main business or headquarters office of the corporation
is:
(City)
(Street
Address)
(State)
(Zip
Code)
The mailing
address
if
different than
above
is:
(Street
Address or
P.
O .
Box)
(City)
(Zip Code)
(State)
affairs
corporation proposes to conduct
12.
If
the
the foreign
in this
State
is to be
enlarged,
limited,
or
affairs
is to conduct
otherwise changed, the
specific
which
the corporation
in Michigan
is
as
follows:
The corporation is
authorized
to conduct such affairs
in the
jurisdiction
of
its
incorporation.
,
Signed
this
day
of
By
(Signature of
Authorized
Officer
or
Agent)
(Type or
Print Name)
CSCL/CD-565 (Rev. 10/17)
Preparer's name:
)
(
Business Telephone Number:
INFORMATION AND INSTRUCTIONS
Conduct Affairs in
1.
This
amended application must be
used to amend the
Application for Certificate of Authority
to
Michigan. A document required
or
permitted to be filed under
the
act cannot be filed
unless it
contains
the
minimum
infomation required by
the
act.
This
is a
legal
document and
agency
staff cannot provide
legal
advice.
2. Submit
one
original of
this
document. Upon
filing,
the document
will be added to
the records
of
the
Corporations,
Securities
&
Commercial
Licensing Bureau. The original
will
be
returned
to
your registered office address, unless
you
enter
a
different
address
on the front
of
this
document.
Since
this
document will be maintained
on electronic format, it is
important that
the filing
be
legible. Documents
with
poor black and
white contrast, or otherwise
illegible,
will be rejected.
foreign nonprofit
3.
This document is
to be used
pursuant
to section 1021 of
the Act
by
corporations having a certif icate
authority to conduct affairs in this State where the information contained
of
in its original
or last
amended application
has
changed. This
amended
application
must
be filed no later
than 30
days
after
the time the
change
becomes
effective
in the jur isdiction
of
its
incorporation.
4.
Item 12- This
item should
state
only
the
specific
affairs
to
be conducted in
Michigan.
An
all purpose activities statement
only conduct affairs in this State that a
is
not permitted.
Foreign corporations
can
domestic corporation
formed
under the
Nonprofit
Corporation
Act
can lawfully transact.
5.
The document
is effective
on the date
endorsed
"filed"
by
the
Bureau.
A later effective
date,
no more than
90
days
after
the
date of delivery
may be stated.
7.
This amended application must be
signed
by
an authorized officer or
agent
of
the corporation.
8.
FEES:
Make
remittance payable
to
the State of
Michigan.
Include
corporation
name and
identification
number
on
check or money order.
NONREFUNDABLE FEE.............................................................................................................................................$10.00
To submit by mail:
To
submit in
person:
Department
of Licensing
and
Regulatory
Affairs
2501 Woodlake Circle
Corporations, Securities &
Commercial
Licensing Bureau
Okemos, Ml
Corporations Division
Telephone
:
(517) 241-6470
P.O. Box
30054
Lansing,
Ml
48909
MasterCard, or
Fees
may
be paid
by
VISA,
Discover
when
delivered
in
person to our office.
Documents that are endorsed filed are available at www.michigan.gov/corpentitysearch. If the submitted document is not
fileable, the notice of refusal to file and document will be available at the Rejected Filings Search website at
www.michigan.gov/corprejectedsearch.
LARA
is
an equal opportunity employer/program.
Auxiliary
aids,
services and
other
reasonable
accommodations are
available
upon
request
to individuals with
disabilities.
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