Form 040203 Qualification to Do Business in Nevada - Foreign Corporation - Nevada

Form 040203 is a Nevada Secretary of State form also known as the "Qualification To Do Business In Nevada - Foreign Corporation". The latest edition of the form was released in September 26, 2017 and is available for digital filing.

Download an up-to-date Form 040203 in PDF-format @down below@ or look it up on the Nevada Secretary of State Forms website.

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BARBARA K. CEGAVSKE
Instructions for Qualification to do
Secretary of State
202 North Carson Street
Business in Nevada
Carson City, Nevada 89701-4201
(PURSUANT TO NRS CHAPTER 80)
(
775) 684-5708
Website: www.nvsos.gov
**IMPORTANT CHANGES – REFER TO INITIAL LIST SECTION OF THIS INSTRUCTION PAGE**
IMPORTANT: Read all instructions carefully before completing the form.
Before commencing or doing any business in this state (see exceptions in NRS 80.015), every corporation (for profit or nonprofit)
organized pursuant to the laws of another state, territory, the District of Columbia, a dependency of the United States or a foreign
country, must file in the Office of the Secretary of State:
The attached Qualification to do Business in Nevada form.
A file stamped copy of the document most recently filed by the corporation in its home jurisdiction verifying the entity name
and total authorized stock. If the application is for a nonprofit, non-stock corporation, provide official verification.
CORPORATION NAME: The corporate name will be registered in Nevada exactly as it appears on the documents issued by the
domicile state or country that are submitted with the Qualification to do Business in Nevada. The name must be distinguishable from
the names of corporations, limited-liability companies, limited partnerships, limited-liability limited partnerships, business trusts or limited-
liability partnerships on file in the office of the Secretary of State. If the name is not available, a modified name resolution adopting a
name for use in conducting business in Nevada may be submitted along with the Qualification to do Business in Nevada. The
modified name resolution form is for use only if the name of your corporation is not available for use in Nevada. A name may be
reserved, if available, for 90 days by submitting a name reservation form with a $25.00 filing fee. For details you may call (775)
684-5708, visit www.nvsos.gov, or write to the Secretary of State, 202 North Carson Street, Carson City NV 89701-4201.
REGULATORY APPROVAL: If it appears from the name and/or purpose of the entity being formed that it is to be regulated by the
Financial Institutions Division, Division of Mortgage Lending, Insurance Division, State Board of Professional Engineers and Land
Surveyors, Real Estate Division, Homeowners Associations Ombudsman, State Board of Accountancy, Secondary Education or State
Board Architecture, the application will need to be approved by the regulating agency before it is filed with the Office of the Secretary
of State. If a professional corporation, a certificate from the Nevada regulatory board showing that each individual is licensed at the
time of filing with this office must be presented with this form.
REGISTERED AGENT: The name and Nevada street address of the registered agent must be set forth for service of process. The
mailing address in this state, if different from the street address, is also required. The street address of the registered agent is the
registered office of the corporation in this state. If you are in need of a registered agent in the state of Nevada, please contact this office
or visit our web site at www.nvsos.gov for a list of individuals or companies who have registered with the Secretary of State.
INITIAL LIST OF OFFICERS AND STATE BUSINES LICENSE: Pursuant to NRS 80.110, each corporation qualified under the laws
of this state shall, at the time of filing its Qualification to do Business in Nevada, and annually thereafter, file its list of officers, directors
and state business license. An amended list of officers may be filed within 60 days of filing the Articles of Incorporation at no charge. If
submitted after 60 day the filing fee is based on the number of shares authorized. Please see the attached fee schedule.
PLEASE NOTE: Any nonprofit corporation before engaging in any activities in the state of Nevada, as specified in section 5 of SB224
of the 2005 session, designed to affect the outcome of any primary, general or special election or question on the ballot
shall, submit the names, addresses and telephone numbers of its officers to the Secretary of State. This is a separate filing from
the initial or annual list of officers. For your convenience, a form is available for your use at www.nvsos.gov.
COPIES: One file stamped copy of the Qualification to do Business in Nevada will be returned at no additional charge. To receive a
certified copy, enclose an additional $30.00 per certification. A copy fee of $2.00 per page is required for each additional copy
generated when ordering 2 or more file stamped or certified copies. Appropriate instructions must accompany your order. NRS 78.105
requires that a corporation receive at least one certified copy of the Qualification to do Bueiness to be kept in the office of the registered
agent. The Secretary of State keeps the original filing.
FILING FEE: The filing fee for the Qualification to do Business is based on the number of shares authorized. The initial list fee is
$150.00, in conjunction to the $200.00/$500.00 business license fee. All nonprofit lists are $50.00; please refer to initial list instructions
for licensing fees. Annual and amended list filing fee is based on the number of shares authorized. Please see the attached fee
schedule. Filing may be expedited for an additional $125.00 expedite fee. Make checks payable to Secretary of State.
NRS 80.190: This requires each foreign corporation doing business in this state to publish a statement, not later than the end of the
third month following the close of each fiscal year, of its last calendar year’s business in two issues of a newspaper published in this
state that has a total weekly circulation of at least 1,000. Refer to NRS 80.190 for the required contents of this report. The Secretary of
State does not publish or file these statements.
Filing may be submitted at the office of the Secretary of State or by mail at the following addresses:
MAIN OFFICE:
SATELLITE OFFICE:
Regular and Expedited Filings
Expedited Filings Only
Secretary of State – Las Vegas
Secretary of State
North Las Vegas City Hall
New Filings Division
2250 North Las Vegas Blvd, 4th Floor
202 North Carson Street
North Las Vegas, NV 89030
Carson City NV 89701-4201
Phone: 702-486-2880
Phone: 775-684-5708
Fax: 702-486-2888
Fax: 775-684-7138
Nevada Secretary of State NRS 80 Qualification Instructions
Revised: 7-26-18
BARBARA K. CEGAVSKE
Instructions for Qualification to do
Secretary of State
202 North Carson Street
Business in Nevada
Carson City, Nevada 89701-4201
(PURSUANT TO NRS CHAPTER 80)
(
775) 684-5708
Website: www.nvsos.gov
**IMPORTANT CHANGES – REFER TO INITIAL LIST SECTION OF THIS INSTRUCTION PAGE**
IMPORTANT: Read all instructions carefully before completing the form.
Before commencing or doing any business in this state (see exceptions in NRS 80.015), every corporation (for profit or nonprofit)
organized pursuant to the laws of another state, territory, the District of Columbia, a dependency of the United States or a foreign
country, must file in the Office of the Secretary of State:
The attached Qualification to do Business in Nevada form.
A file stamped copy of the document most recently filed by the corporation in its home jurisdiction verifying the entity name
and total authorized stock. If the application is for a nonprofit, non-stock corporation, provide official verification.
CORPORATION NAME: The corporate name will be registered in Nevada exactly as it appears on the documents issued by the
domicile state or country that are submitted with the Qualification to do Business in Nevada. The name must be distinguishable from
the names of corporations, limited-liability companies, limited partnerships, limited-liability limited partnerships, business trusts or limited-
liability partnerships on file in the office of the Secretary of State. If the name is not available, a modified name resolution adopting a
name for use in conducting business in Nevada may be submitted along with the Qualification to do Business in Nevada. The
modified name resolution form is for use only if the name of your corporation is not available for use in Nevada. A name may be
reserved, if available, for 90 days by submitting a name reservation form with a $25.00 filing fee. For details you may call (775)
684-5708, visit www.nvsos.gov, or write to the Secretary of State, 202 North Carson Street, Carson City NV 89701-4201.
REGULATORY APPROVAL: If it appears from the name and/or purpose of the entity being formed that it is to be regulated by the
Financial Institutions Division, Division of Mortgage Lending, Insurance Division, State Board of Professional Engineers and Land
Surveyors, Real Estate Division, Homeowners Associations Ombudsman, State Board of Accountancy, Secondary Education or State
Board Architecture, the application will need to be approved by the regulating agency before it is filed with the Office of the Secretary
of State. If a professional corporation, a certificate from the Nevada regulatory board showing that each individual is licensed at the
time of filing with this office must be presented with this form.
REGISTERED AGENT: The name and Nevada street address of the registered agent must be set forth for service of process. The
mailing address in this state, if different from the street address, is also required. The street address of the registered agent is the
registered office of the corporation in this state. If you are in need of a registered agent in the state of Nevada, please contact this office
or visit our web site at www.nvsos.gov for a list of individuals or companies who have registered with the Secretary of State.
INITIAL LIST OF OFFICERS AND STATE BUSINES LICENSE: Pursuant to NRS 80.110, each corporation qualified under the laws
of this state shall, at the time of filing its Qualification to do Business in Nevada, and annually thereafter, file its list of officers, directors
and state business license. An amended list of officers may be filed within 60 days of filing the Articles of Incorporation at no charge. If
submitted after 60 day the filing fee is based on the number of shares authorized. Please see the attached fee schedule.
PLEASE NOTE: Any nonprofit corporation before engaging in any activities in the state of Nevada, as specified in section 5 of SB224
of the 2005 session, designed to affect the outcome of any primary, general or special election or question on the ballot
shall, submit the names, addresses and telephone numbers of its officers to the Secretary of State. This is a separate filing from
the initial or annual list of officers. For your convenience, a form is available for your use at www.nvsos.gov.
COPIES: One file stamped copy of the Qualification to do Business in Nevada will be returned at no additional charge. To receive a
certified copy, enclose an additional $30.00 per certification. A copy fee of $2.00 per page is required for each additional copy
generated when ordering 2 or more file stamped or certified copies. Appropriate instructions must accompany your order. NRS 78.105
requires that a corporation receive at least one certified copy of the Qualification to do Bueiness to be kept in the office of the registered
agent. The Secretary of State keeps the original filing.
FILING FEE: The filing fee for the Qualification to do Business is based on the number of shares authorized. The initial list fee is
$150.00, in conjunction to the $200.00/$500.00 business license fee. All nonprofit lists are $50.00; please refer to initial list instructions
for licensing fees. Annual and amended list filing fee is based on the number of shares authorized. Please see the attached fee
schedule. Filing may be expedited for an additional $125.00 expedite fee. Make checks payable to Secretary of State.
NRS 80.190: This requires each foreign corporation doing business in this state to publish a statement, not later than the end of the
third month following the close of each fiscal year, of its last calendar year’s business in two issues of a newspaper published in this
state that has a total weekly circulation of at least 1,000. Refer to NRS 80.190 for the required contents of this report. The Secretary of
State does not publish or file these statements.
Filing may be submitted at the office of the Secretary of State or by mail at the following addresses:
MAIN OFFICE:
SATELLITE OFFICE:
Regular and Expedited Filings
Expedited Filings Only
Secretary of State – Las Vegas
Secretary of State
North Las Vegas City Hall
New Filings Division
2250 North Las Vegas Blvd, 4th Floor
202 North Carson Street
North Las Vegas, NV 89030
Carson City NV 89701-4201
Phone: 702-486-2880
Phone: 775-684-5708
Fax: 702-486-2888
Fax: 775-684-7138
Nevada Secretary of State NRS 80 Qualification Instructions
Revised: 7-26-18
*040203*
*040203*
BARBARA K. CEGAVSKE
Secretary of State
202 North Carson Street Carson
City, Nevada 89701-4201
(775) 684-5708
Website: www.nvsos.gov
Qualification to do
Business in Nevada
(PURSUANT TO NRS CHAPTER 80)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
1. Name of
Corporation:
2. Jurisdiction of
This corporation is in good standing in the
Incorporation/
jurisdiction of its incorporation/creation.
Creation:
3. Registered
Commercial Registered Agent:
Agent for Service
Name
of Process:
(check
Noncommercial Registered Agent
Office or Position with Entity
OR
only one box)
(name and address below)
(name and address below)
Name of Noncommercial Registered Agent OR Name of Title of Office or Other Position with Entity
Nevada
Street Address
City
Zip Code
Nevada
Mailing Address (if different from street address)
City
Zip Code
4. Authorized
Total Authorized Stock:
Stock:
(set forth the total
authorized stock indicating
number of par shares, par
(a) Number of shares with par value:
value per share and/or
number of no par shares;
mark appropriate box if
$
(b) Par value per share:
entity is a nonprofit
corporation with or without
(c) Number of shares without par value:
stock; submit required
documentation to support
statement; stock statement
must match documentation
This is a nonprofit entity with
This entity is a nonprofit,
If a Nonprofit Entity:
exactly)
authorized stock, as listed above.
non-stock corporation.
5. Purpose:
(required;
The purpose of the corporation shall be:
continue on additional
page if necessary)
I declare, to the best of my knowledge under penalty of perjury, that the information contained herein is correct and acknowledge
6. Name, Title and
that pursuant to NRS 239.330, it is a category C felony to knowingly offer any false or forged instrument for filing in the Office of
Signature of Officer
the Secretary of State.
Making Statement:
X
Name
____________________________________________
Officer Signature
Title of Officer
I hereby accept appointment as Registered Agent for the above named Entity. If the registered agent is unable to sign the
7. Certificate of
Articles of Incorporation, submit a separate signed Registered Agent Acceptance form.
Acceptance of
X
Appointment of
___________________________________________________________________
Registered Agent:
Authorized Signature of Registered Agent or On Behalf of Registered Agent Entity
Date
This form must be accompanied by appropriate fees.
Nevada Secretary of State NRS 80
Qualification Revised: 9-26-17
PRINT
(PROFIT) INITIAL/ANNUAL LIST OF OFFICERS, DIRECTORS AND STATE BUSINESS
LICENSE APPLICATION OF:
ENTITY NUMBER
NAME OF CORPORATION
*100103*
FOR THE FILING PERIOD OF
TO
*100103*
USE BLACK INK ONLY - DO NOT HIGHLIGHT
Return one file stamped copy.
(If filing not accompanied by order instructions, file
stamped copy will be sent to registered agent.)
IMPORTANT: Read instructions before completing and returning this form.
1. Print or type names and addresses, either residence or business, for all officers and directors. A
President, Secretary, Treasurer, or equivalent of and all Directors must be named. There must be at
least one director. An Officer must sign the form. FORM WILL BE RETURNED IF UNSIGNED.
2. If there are additional officers, attach a list of them to this form.
3. Return the completed form with the filing fee. Annual list fee is based upon the current total
authorized stock as explained in the Annual List Fee Schedule For Profit Corporations. A $75.00
ABOVE SPACE IS FOR OFFICE USE ONLY
penalty must be added for failure to file this form by the deadline. An annual list received more than
90 days before its due date shall be deemed an amended list for the previous year.
4. State business license fee is $500.00/$200.00 for Professional Corporations filed pursuant to NRS Chapter 89. Effective 2/1/2010, $100.00 must be added for failure to file
form by deadline.
5. Make your check payable to the Secretary of State.
6. Ordering Copies: If requested above, one file stamped copy will be returned at no additional charge. To receive a certified copy, enclose an additional $30.00 per certification.
A copy fee of $2.00 per page is required for each additional copy generated when ordering 2 or more file stamped or certified copies. Appropriate instructions must
accompany your order.
7. Return the completed form to: Secretary of State, 202 North Carson Street, Carson City, Nevada 89701-4201, (775) 684-5708.
8. Form must be in the possession of the Secretary of State on or before the last day of the month in which it is due. (Postmark date is not accepted as receipt date.) Forms
received after due date will be returned for additional fees and penalties. Failure to include annual list and business license fees will result in rejection of filing.
CHECK ONLY IF APPLICABLE AND ENTER EXEMPTION CODE IN BOX BELOW
NRS 76.020 Exemption Codes
Pursuant to NRS Chapter 76, this entity is exempt from the business license fee. Exemption code:
001 - Governmental Entity
NOTE: If claiming an exemption, a notarized Declaration of Eligibility form must be attached. Failure to
006 - NRS 680B.020 Insurance Co.
attach the Declaration of Eligibility form will result in rejection, which could result in late fees.
This corporation is a publicly traded corporation. The Central Index Key number is:
This publicly traded corporation is not required to have a Central Index Key number.
NAME
TITLE(S)
PRESIDENT
(OR EQUIVALENT OF)
ADDRESS
CITY
STATE
ZIP CODE
NAME
TITLE(S)
SECRETARY
(OR EQUIVALENT OF)
ADDRESS
CITY
STATE
ZIP CODE
NAME
TITLE(S)
TREASURER
(OR EQUIVALENT OF)
ADDRESS
CITY
STATE
ZIP CODE
NAME
TITLE(S)
DIRECTOR
ADDRESS
CITY
STATE
ZIP CODE
None of the officers or directors identified in the list of officers has been identified with the fraudulent intent of concealing the identity of any person or persons
exercising the power or authority of an officer or director in furtherance of any unlawful conduct.
I declare, to the best of my knowledge under penalty of perjury, that the information contained herein is correct and acknowledge that pursuant to NRS 239.330, it is
a category C felony to knowingly offer any false or forged instrument for filing in the Office of the Secretary of State.
Title
Date
X
Signature of Officer or
Nevada Secretary of State List Profit
Other Authorized Signature
Form: 100103 Revised: 11-7-17
PRINT
(NONPROFIT) INITIAL/ANNUAL LIST OF OFFICERS AND DIRECTORS OF:
ENTITY NUMBER
NAME OF CORPORATION
*100206*
FOR THE FILING PERIOD OF
TO
*100206*
USE BLACK INK ONLY - DO NOT HIGHLIGHT
Return one file stamped copy.
(If filing not accompanied by order instructions,
file stamped copy will be sent to registered agent.)
IMPORTANT: Read instructions before completing and returning this form.
1. Print or type names and addresses, either residence or business, for all officers and directors. A
President, Secretary, Treasurer, or equivalent of and all Directors must be named. There must be at
least one director. If there are additional officers, attach a list of them to this form. An Officer or
other authorized signer must sign the form. FORM WILL BE RETURNED IF UNSIGNED.
2. Return the completed form with the $50.00 filing fee, if no capitalization. A $50.00 penalty must be
added for failure to file this form by the deadline. An annual list received more than 90 days before
its due date shall be deemed an amended list for the previous year.
3. Make your check payable to the Secretary of State. Return the completed form to: Secretary of State,
ABOVE SPACE IS FOR OFFICE USE ONLY
202 North Carson Street, Carson City, Nevada 89701-4201, (775) 684-5708.
4. Form must be in the possession of the Secretary of State on or before the last day of the month in which it is due. (Postmark date is not accepted as receipt date.) Forms
received after due date will be returned for additional fees and penalties.
5. Ordering Copies: If requested above, one file stamped copy will be returned at no additional charge. To receive a certified copy, enclose an additional $30.00 per certification.
A copy fee of $2.00 per page is required for each additional copy generated when ordering 2 or more file stamped or certified copies. Appropriate instructions must
accompany your order.
FILING FEE: $50.00 (IF NO CAPITALIZATION)
LATE PENALTY: $50.00 (if filing late)
Charitable Solicitation Information - check applicable box
Does Organization intend to solicit charitable/tax
No - no additional form required
Yes - "Charitable Solicitation Registration Statement" required
deductible contributions?
Organization claims exemption pursuant to (2015) AB50 15(1) or is
Exempt from filing - "Exemption From Charitable Solicitation Registration Statement" required
recognized as a church under Internal Revenue Code 501(c)(3).
** Failure to include the required statement form will result in rejection of the filing and could result in late fees.**
For nonprofit entities formed under NRS Chapter 80: entities without 501(c) nonprofit designation are required to maintain a state business license, the fee is $200.00.
Those claiming an exemption under 501(c) designation must indicate by checking box below and submit Declaration of Eligibility form. Failure to attach the required
notarized Declaration of Eligibility will result in a rejection, which could result in late fees.
Pursuant to NRS Chapter 76, this entity is a 501(c) nonprofit entity and is exempt from the business license fee.
Exemption code 002
NRS Chapter 81 - Nonprofit: entities which are Unit-owners' association or Religious, charitable, fraternal or other organization that qualifies as a tax-exempt organization
pursuant to 26 U.S.C. § 501(c) are excluded from the requirement to obtain a state business license. Please indicate below if this entity falls into one of these categories by
marking the appropriate box. If the entity does not meet either of these categories please submit $200.00 for the state business license.
Unit-owners' Association
Religious, charitable, fraternal or other organization that qualifies as a tax-exempt organization pursuant to 26 U.S.C. § 501(c)
NAME
TITLE(S)
PRESIDENT
(OR EQUIVALENT OF)
ADDRESS
CITY
STATE
ZIP CODE
NAME
TITLE(S)
SECRETARY
(OR EQUIVALENT OF)
ADDRESS
CITY
STATE
ZIP CODE
NAME
TITLE(S)
TREASURER
(OR EQUIVALENT OF)
ADDRESS
CITY
STATE
ZIP CODE
NAME
TITLE(S)
DIRECTOR
ADDRESS
CITY
STATE
ZIP CODE
None of the officers or directors identified in the list of officers has been identified with the fraudulent intent of concealing the identity of any person or persons
exercising the power or authority of an officer or director in furtherance of any unlawful conduct.
I declare, to the best of my knowledge under penalty of perjury, that the information contained herein is correct and acknowledge that pursuant to NRS 239.330, it is
a category C felony to knowingly offer any false or forged instrument for filing in the Office of the Secretary of State.
Title
Date
X
Signature of Officer or Other
Nevada Secretary of State List Nonprofit
Authorized Signature
PRINT
Revised: 11-7-17
*180304*
BARBARA K. CEGAVSKE
*180304*
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684-5708
Website: www.nvsos.gov
Registered Agent
Acceptance
(PURSUANT TO NRS 77.310)
This form may be submitted by: a Commercial Registered Agent,
Noncommercial Registered Agent or Represented Entity. For more
information please visit http://www.nvsos.gov/index.aspx?page=141
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
Certificate of Acceptance of Appointment by Registered Agent
In the matter of
Name of Represented Business Entity
I,
am a:
Name of Appointed Registered Agent OR Represented Entity Serving as Own Agent*
(complete only one)
a)
commercial registered agent listed with the Nevada Secretary of State,
b)
noncommercial registered agent with the following address for service of process:
Nevada
Street Address
City
Zip Code
Nevada
Mailing Address (if different from street address)
City
Zip Code
c)
represented entity accepting own service of process at the following address:
Title of Office or Position of Person in Represented Entity
Nevada
Street Address
City
Zip Code
Nevada
Mailing Address (if different from street address)
City
Zip Code
and hereby state that on
I accepted the appointment as registered agent for
Date
the above named business entity.
X
Date
Authorized Signature of R.A. or On Behalf of R.A. Company
*If changing Registered Agent when reinstating, officer's signature required.
X
Date
Signature of Officer
Nevada Secretary of State Form RA Acceptance
Revised: 1-5-15
PRINT

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