Leaders Growing Leaders
Information About Your For Profit Corporation
(to expedite processing, please enter information in the form below and SUBMIT )
What would you like the name of your corporation to be? (Enter two proposed names)
Proposed Business Name 1
Proposed Business Name 2
What type of business are you establishing? Describe here.
Physical address of business for state record. (Enter street address, city, state, zip code)
Mailing address of business for state record.
Alert: Mailing address information is public record. If the business location is a home address, for privacy purposes it is advised that a P.O. Box is provided.
How many shareholders will the business have?
Enter the name, address, and percentage of ownership for each shareholder. (Percentage ownership should equal 100% in total for all shareholders)
Owner 1
First Name
Last Name
Mailing Address
Percentage
Ownership
Owner 2
First Name
Last Name
Mailing Address
Percentage
Ownership
Additional Shareholders. (Enter name, address, and percentage of ownership for each additional owner)
Name and address of 3 persons who will be on the Board of Directors.
Board Member 1
First Name
Last Name
Mailing Address
Board Member 2
First Name
Last Name
Mailing Address
Board Member 3
First Name
Last Name
Mailing Address
Business Contact Information
Contact Name
Contact Phone
Contact Email Address
SELECT THE STATE TO FORM YOUR BUSINESS
Name and SSN of the Responsible Individual. (IRS requires this information to obtain a tax identification number for the business.
Responsible Individual's Name
SSN
