REG. NO.
State of California
Secretary of State
REGISTRATION OF UNINCORPORATED NONPROFIT ASSOCIATION
PURSUANT TO CALIFORNIA CORPORATIONS CODE SECTION 21300
Instructions: 1. 2. Complete and mail to: Secretary of State, Document Filing Support Unit, P. O. Box 944225, Sacramento, CA 94244-2250 (916) 657-5448 Include filing fee of $10.00 per box checked below.
This space For Filing Use Only
Association includes any lodge, order, beneficial association, fraternal or beneficial society, historical, military, or veterans organization, labor union, foundation, or federation, or any other society, organization, or association, or degree, branch, subordinate lodge, or auxiliary thereof. Registration For: Name Association Name Insignia Alteration Cancellation
Street or Mailing Address
City and State
Zip Code
Nature of Alteration (If Any):
Description of Insignia, which may include badge, motto, button, decoration, charm, emblem, or rosette:
Attach Facsimile:
I declare under penalty of perjury under the laws of the State of California that I am a chief officer of the association; that I am authorized to act on behalf of the association with respect to completing and submitting this application; that the information contained in this application is true and correct.
Signature of Officer
Date
Signature of Additional Officer (Optional)
Date
Typed Name and Title
Typed Name and Title
Sec/State Form LP/UNA 128 (Rev. 03/2005)
Secretary of State
Business Programs Division
1500 11 Street, 3 Floor Sacramento, CA 95814
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Business Entities (916) 657-5448
EXPANSION OF PRECLEARANCE AND EXPEDITED FILING SERVICES (Effective Monday, October 2, 2006)
We are pleased to announce that our preclearance and expedited filing services have been expanded to include all business entity documents filed with the Secretary of State pursuant to the California Corporations Code, the California Financial Code or the California Insurance Code. These services, previously offered only for specified corporate documents, are now available for all corporate, limited liability company and limited partnership documents, including interspecies mergers and conversions, and for all other documents filed by other entity types. In addition, the number of copies required to be submitted for the preclearance service has been reduced from two to one. Preclearance service provides a customer with the opportunity to submit a business entity document in person to the Secretary of State's Sacramento office prior to filing to determine if the document conforms to law and to receive a preclearance response within a guaranteed time frame. Expedited filing service provides a customer with the opportunity to submit for filing a business entity document in person to the Secretary of State's Sacramento office and to receive a filing response within a guaranteed time frame. Please refer to the Secretary of State's website at http://www.ss.ca.gov/business/precexp.htm for detailed information regarding the preclearance and expedited filing services. Authority cited: Title 2, California Code of Regulations, sections 21904 and 21905; and Government Code section 12182.
PRECEXP NOTICE (10/2006)