Standard General Stock (C-Corporation)

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1 The below form may be completed using Adobe Acrobat Reader, then printed. Or, you may print the form and complete it by hand. Then, mail or fax the form to Advantage Delaware LLC. Delaware Corporation Premium Incorporation Service, $ How did you hear about us? Name of Limited Liability Company Name must include the words "Limited Liability Company" or the abbreviation "L.L.C." or the designation "LLC." The name may also contain the words: Association, Company, Club, Foundation, Fund, Institute, Society, Union, Syndicate, Limited, or Trust (or their abbreviations). Please supply a second name choice, in the event your first name choice is in use by another company. First Choice: Second Choice: Type of Corporation Standard General Stock (C-Corporation) S-Corporation The below types of corporations require an alternate type of Certificate of Incorporation to be written. To form a Close Corporation, Non-Stock, or Non-Stock/Non-Profit Corporation requires all the basic information requested below with additional information depending on your operation. Please fill out the form and then Contact Us for further details. Close Corporation Non-stock Corporation Non-stock/Non-Profit Corporation Communications Contact Person As your Delaware Registered Agent we require contact information of the person authorized to receive official correspondence and billing. Remember, if this information changes you are responsible for notifying us of the change in a timely manner. First Name: Middle initial: Last Name: Address 1 (No P.O.): City: State or Province: Zip or Postal Code: Country: Telephone: Fax: Address: page 1 of 7

2 Stock Information All our formation packages include the filing fee for a minimum stock corporation. This fee reflects the authorization of 1500 shares of No-Par value stock, or a corporation with $75,000 or less in total equity (e.g., if the number of shares multiplied by the par value exceeds $75,000 there will be additional filing fees). State of Delaware filing fees increase from this point. Many new businesses forming a corporation choose 1500 shares or less of No-Par Value stock. If you choose to authorize more shares, or extra equity, or multiple class stock, please Contact Us for a price quote. Number of No-Par Value Shares Authorized: Number or Par Value Shares Authorized: Value per share: Federal Tax Identification Number (EIN) Every business entity should obtain an Employer Identification Number (EIN), also known as the Federal Tax Identification Number from the Internal Revenue Service. When selecting our Premium LLC Formation Service we offer to fill in the application and obtain the EIN for your LLC. I instruct Advantage Delaware LLC to obtain the EIN for my new company. Required Information. Please supply the following information so we can apply for and obtain your EIN. First Name: Middle Initial: Last Name: Officer Title: Phone: Do You have a valid Social Security Number? Yes No Social Security Number: Principle Place of Business Where is your business physically located? The physical location of the LLC or Corporation can be located in any state; it is not required to be in Delaware. City: County: State: Province: Zip or Postal Code: Country: page 2 of 7

3 Type of Entity: C-Corporation S-Corporation Other: Employees Do you currently have or do you expect to have any employees in the next 12 months? Yes No If yes to the above, please supply the first date wages will be paid: Please supply the highest number of employees expected within the next 12 months. Please Note: Total number of employees must be at least 1. Number of agricultural employees: Number of household employees: Number of other employees: Do you expect to pay less than $4000 in total wages during the next full calendar year (January December)? Yes No Primary Business Activity Please choose the category that best describes your business: Accommodation Construction Finance Food Service Health Care Insurance Manufacturing Real Estate Rental and Leasing Social Assistance Transportation Warehousing Wholesale Other Please give a brief description of your business activity: Have you ever applied for or received an EIN for this business previously? Yes No If yes, please enther EIN number: page 3 of 7

4 Sub Chapter S Election We can help prepare IRS Form 2553, at your request, as part of our Premium Incorporation service. By supplying the following information, I instruct Advantage Delaware to prepare IRS Form 2553 Election By A Small Business Corporation for my signature. Company Information Title: Phone: Corporate Officer Sub Chapter S Share Holders Share Holder 1 SSN: Number of shares owned: out of: Tax year end: 12/31/ page 4 of 7

5 Sub Chapter S Share Holders (additional) Share Holder 2 SSN: Number of shares owned: out of: Tax year end: 12/31/ Share Holder 3 SSN: Number of shares owned: out of: Tax year end: 12/31/ page 5 of 7

6 Additional Services Please Note: Delaware may take several weeks to process an Apostille unless expedited service is requested. Expedited Formation Service, within 24 hours - $90 Expedited Formation Service, same day processing - $150 Apostille - $30 per document Apostille with expedited service - $80 per document Country requesting Apostille: Federal Express International Delivery (for Documents Only) - $75 Delaware Address with Mail Forwarding (within the U.S.) - $300 per year Extra Services: If you require any additional services we offer please list in the box provided below. For example: multiple copies of certificates or apostilles, expedited processing service, international mail forwarding, opening a Delaware bank account, or creating a presence in Delaware. You may use this PDF version of the form and fax to us at and we will promptly respond with a price quote, or contact us by phone at , or toll free at Payment Information All information is required Cardholder s Name: Credit Card: Visa MasterCard American Express Discover Credit Card Number: Security Code (CVV number): Visa, MasterCard, Discover - CVV 3 digit codes are located on the back of your card. American Express - CVV 4 digit codes are located on the front of your card. Expiration Date (mm/dd/yyyy): Signature Date page 6 of 7

7 Billing Address Billing Address is same as Contact Person Address (page 1) Card Billing City: State or Provence: ZIP or Postal Code: Country: Submitting This Form To submit this form by Fax: To make credit card payment by telephone call toll free: , for international clients please call To submit this form by mail, address to: Advantage Delaware LLC 35A The Commons page 7 of 7

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