J 1530 1627 F L

User Manual: 1530

Open the PDF directly: View PDF PDF.
Page Count: 3

DownloadJ 1530 1627-f-l
Open PDF In BrowserView PDF
New York State Department of State
Division of Corporations, State Records & Uniform Commercial Code
One Commerce Plaza, 99 Washington Avenue
Albany, NY 12231
www.dos.ny.gov

APPLICATION FOR AUTHORITY
OF
(Insert Name of Foreign Professional Service Corporation)

Under Section 1530 of the Business Corporation Law

FIRST:

The name of the foreign professional service corporation is:

If the name does not contain the required words or abbreviation pursuant to Section 1530(a)(1)
of the Business Corporation Law, the following words or abbreviation is added to the name for
its use in this State:
(Do not complete this section unless the corporation’s true name is not available for use in this state pursuant to
§301 and §302 Business Corporation Law.) The fictitious name the foreign professional service

corporation agrees to use in New York State is:

SECOND:

(A certificate of existence by an authorized officer of the jurisdiction of its incorporation must
be attached to this application. ) The jurisdiction of incorporation of the foreign professional

service corporation is:

The date of its incorporation is:

THIRD:

The foreign professional service corporation shall practice the profession(s) of
in the State of New York.

FOURTH:

The foreign professional service corporation is authorized to practice such profession(s) in the jurisdiction of its incorporation.

FIFTH: (Attach the appropriate certificate(s) from the New York State licensing authority.) The name,
address and license number of each person within the foreign professional service corporation
who is licensed to practice the profession(s) in this state are:

DOS-1627-f-l (Rev. 06/12)

Page 1 of 3

SIXTH:

The city, incorporated village or town and the county within this state in which its
office is to be located is:
(A county in New York State

must be stated. Please note that the corporation is not required to have an actual physical office in this state.)

SEVENTH: The Secretary of State is designated as agent of the foreign professional service
corporation upon whom process against it may be served. The address within or without this state
to which the Secretary of State shall mail a copy of any process served against him or her is:

EIGHTH: (Check the statement that applies.)
The foreign professional service corporation has not since its incorporation or since the date
its authority to do business in New York State was last surrendered, engaged in any activity
in this State.
The consent of the State Tax Commission is attached.

(Signature)

(Signer’s Title)

(Signer’s Name)

DOS-1627-f-l (Rev. 06/12)

Page 2 of 3

APPLICATION FOR AUTHORITY
OF
(Insert name of Foreign Professional Service Corporation)

Under Section 1530 of the Business Corporation Law

Filed by:
(Name)
(Mailing Address)
(City, State and Zip Code)

Note: This form was prepared by the New York State Department of State for filing an application for authority by a
foreign professional service corporation. It does not contain all optional provisions under the law. You are not
required to use this form. You may draft your own form or use forms available at legal stationery stores. The
Department of State recommends that legal documents be prepared under the guidance of an attorney. The certificate
must be submitted with a $200 filing fee made payable to the Department of State.
(For Office Use Only)

DOS-1627-f-l (Rev. 06/12)

Page 3 of 3
Source Exif Data: 
File Type                       : PDF
File Type Extension             : pdf
MIME Type                       : application/pdf
PDF Version                     : 1.7
Linearized                      : Yes
Create Date                     : 2012:06:18 14:49:46-04:00
Creator                         : Adobe LiveCycle Designer ES 9.0
ICN App Name                    : Infix Pro
ICN App Platform                : Windows
ICN App Version                 : 5.07
Modify Date                     : 2012:06:18 14:49:46-04:00
Has XFA                         : Yes
Tagged PDF                      : Yes
XMP Toolkit                     : Adobe XMP Core 4.2.1-c043 52.437709, 2010/08/04-17:30:07
Metadata Date                   : 2012:06:18 14:49:46-04:00
Creator Tool                    : Adobe LiveCycle Designer ES 9.0
Document ID                     : uuid:0d5628ce-771a-408c-83e0-64d863485d61
Instance ID                     : uuid:838fbc71-9167-4ec7-90c1-a101701a8f58
Format                          : application/pdf
Producer                        : Adobe LiveCycle Designer ES 9.0
PDF Version                     : 1.4
PDF Version Ref                 : /template/subform[1]
Title                           : J:\DOSPUBS\CORP\FORMS\1627.wpd
Title Ref                       : /template/subform[1]
Author                          : c001626
Author Ref                      : /template/subform[1]
Creator Ref                     : /template/subform[1]
Producer Ref                    : /template/subform[1]
Creation Date                   : D:20070322073603-04'00'
Creation Date Ref               : /template/subform[1]
Mod Date                        : D:20070622113902-04'00'
Mod Date Ref                    : /template/subform[1]
Page Count                      : 3
EXIF Metadata provided by EXIF.tools

Navigation menu