Application to Organize a New Montana Business and Industrial Development Corporation - Montana

This fillable "Application to Organize a New Montana Business and Industrial Development Corporation" is a document issued by the Montana Department of Administration specifically for Montana residents.

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APPLICATION TO ORGANIZE
A NEW MONTANA BUSINESS AND INDUSTRIAL
DEVELOPMENT CORPORATION
________________ 20___
Division of Banking and Financial Institutions
P.O. Box 200546
301 South Park, Suite 316
Helena, MT 59620-0546
Pursuant to Chapter 11 of Title 32, MCA, we the undersigned, proposed
incorporators, request to proceed with the incorporation and organization of a new
Montana Business and Industrial Development Corporation (BIDCO). Said BIDCO
proposes to conduct business at
_________________________________________________________________
(street address, city and state)
and will be known as _______________________________________________
We submit the following for your information in support of this application.
Stockholders
I.
Attached as Exhibit 1 are names, addresses and principal occupations of
the stockholders of the proposed BIDCO.
Directors
II.
Attached as Exhibit 2 are names and qualifications of
the proposed directors of the new BIDCO.
Officers
III.
Attached as Exhibit 3 are the names, positions, qualifications and estimated
annual salaries of the proposed officers of the new BIDCO.
Capital Structure ($1.5 million minimum per 32-11-202, MCA)
IV.
Attached as Exhibit 4 is the proposed capital structure of the BIDCO. For
each class of stock, provide the number of authorized shares, the number of
shares to be issued, and par value. Indicate the amount of net proceeds to
be allocated to common stock, paid-in surplus, and other capital
segregations.
APPLICATION TO ORGANIZE
A NEW MONTANA BUSINESS AND INDUSTRIAL
DEVELOPMENT CORPORATION
________________ 20___
Division of Banking and Financial Institutions
P.O. Box 200546
301 South Park, Suite 316
Helena, MT 59620-0546
Pursuant to Chapter 11 of Title 32, MCA, we the undersigned, proposed
incorporators, request to proceed with the incorporation and organization of a new
Montana Business and Industrial Development Corporation (BIDCO). Said BIDCO
proposes to conduct business at
_________________________________________________________________
(street address, city and state)
and will be known as _______________________________________________
We submit the following for your information in support of this application.
Stockholders
I.
Attached as Exhibit 1 are names, addresses and principal occupations of
the stockholders of the proposed BIDCO.
Directors
II.
Attached as Exhibit 2 are names and qualifications of
the proposed directors of the new BIDCO.
Officers
III.
Attached as Exhibit 3 are the names, positions, qualifications and estimated
annual salaries of the proposed officers of the new BIDCO.
Capital Structure ($1.5 million minimum per 32-11-202, MCA)
IV.
Attached as Exhibit 4 is the proposed capital structure of the BIDCO. For
each class of stock, provide the number of authorized shares, the number of
shares to be issued, and par value. Indicate the amount of net proceeds to
be allocated to common stock, paid-in surplus, and other capital
segregations.
V.
Business Plan and Financial Projections
Attached as Exhibit 5 is the BIDCO’s business plan and financial projections,
including a detailed balance sheet and income statement for the first 10
years of operation.
Articles of Incorporation
VI.
Attached as Exhibit 6 are the BIDCO’s proposed Articles of Incorporation.
Financial Information
VII.
Attached as Exhibit 7 are the financial statements for each of the principal
shareholders (ownership of 10% or more), directors and officers of the
Interagency Biographical and Financial
proposed BIDCO. Please utilize the
Report
(forms to be provided).
VIII.
A Non-Refundable Application fee of $5,000 Must Accompany This
Application (Remittance payable to the State of Montana)
In witness whereof, we have hereunto set our hands this___ day of _______, 20__.
___________________________
___________________________
___________________________
___________________________
___________________________
State of Montana
)
)
County of ________________________ )
Before the undersigned, a Notary Public for Montana, personally appeared:
the proposed incorporators of the above-named BIDCO, to me known, who severally
acknowledged that they executed the foregoing application for the purpose therein
mentioned on __________________________ (date).
___________________________________
(Signature of notarial officer)
___________________________________
(Name - typed, stamped, or printed)
(Seal, if any)
___________________________________
Title (and Rank)
___________________________________
(Residing at)
My commission expires: _______________
Instructions
Schedules or inserts may be attached to this application whenever the space
provided is insufficient. Attached schedules or inserts are a part of this application
and should be on paper the same size as this page. Applications need not be
bound.
You may provide any information in addition to that requested in this application
which, in your opinion, might aid in the disposition of your proposal.
It is the responsibility of the applicant to identify the information submitted with the
proposal which it deems confidential clearly and on separate pages. However, the
determination of the question of confidentiality and the discretion to release
information submitted to it which is exempt resides with the Division of Banking and
Financial Institutions, and the specific information you indicate to be confidential
may be made available for public review after consideration.
The completed original application is to be forwarded to:
Division of Banking and Financial Institutions
P.O. Box 200546
301 South Park, Suite 316
Helena, MT 59620-0546

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