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Corporation Questionnaire
Corporation Questionnaire
1. Which state would you like to incorporate in?
2. Proposed name of corporation:
3. If the above name is unavailable, list two additional names in the order of preference:
Add
Remove
4. Principal Business Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
5. Is the mailing address the same as the business address?
Yes
No
6. Mailing Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
7. Phone
8. Email
9. Registered Agent
10. Registered Agent Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
11. Describe the corporation's type of business:
12. Full name(s) and address(es) of shareholders and their proportionate interest in the corporation:
Name
Percentage or Number of Shares
Address
Add
Remove
13. Please list names and complete addresses of the managing members:
Officer Title
Name
Address
Add
Remove
You will need a (i) President, (ii) Secretary, and (iii) Chief Financial Officer. You may name others, but the aforementioned 3 are required.
14. Please list names and complete addresses of shareholders:
Member
Name
Address
Add
Remove
15. S-corporation election?:
Yes
No
16. Would you like us to obtain an Employer ID number for the corporation?
Yes
No
How many shares is the corporation authorized to issue?
17. If yes, will the principal officer of the corporation be an:
Individual
Existing Business
18. If you answered individual, please provide the following information for the principal officer:
Name
Address
Phone
Social Security Number
Add
Remove
19. If you answered "existing business", please provide the following information:
Name of Existing Business
Employee ID Number (EIN)
Add
Remove
20. Does any officer or director have an outstanding final judgment issued by the Labor Standards Enforcement or a court of law, for which no appeal therefrom is pending, for the violation of any wage order or provision of the Labor Code?
Yes
No
21. Do you plan on having employees?
Yes
No
22. Indicate principal line of merchandise sold, specific construction work done, products produced, or services provided:
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