HAI - QUESTIONNAIRE FOR A CORPORATION

QUESTIONNAIRE FOR A CORPORATION

Your E-mail Address:

*Enter the name of the Corporation (List as least three (3) choices in case the first two are unavailable):*
#1
#2
#3

*Enter the Corporate Address (It may not be a Post Office Box):*
Street Address:
City, State, Zip:

*Enter the name of the Incorporator (If other than HAI and Consulting):*
Name:
Street Address:
City, State, Zip:
Officer Signing:

Enter the number of Authorized Shares.(If other than 10,000 shares):
Enter the Par Value.(If other than $0.01):

Enter the name and address of the Registered Agent.(If other than HAI and Consulting):
Name:
Street Address:
City, State, Zip:

Enter the minimum number of Directors:
*Enter the effective date of Incorporation (month day year):*
*Enter the end of the Fiscal Year (month & day):*

Enter the names of the Shareholder(s) and the Number of Shares:




Enter the names of the Officers of the Corporation:
President
Vice-President
Secretary
Treasurer

Is this a Subchapter S Corporation: Yes No

Securities offered through Registered Representatives of ROGO Capital LLC
Member: FINRA SIPC MSRB

H. A. INCORPORATED
Corporate Headquarters
308 NW 101 Terrace
Coral Springs, FL 33071
Phone: (954) 752-7520
E-Mail: info@hellercap.com

	Copyright © 1976 H. A. INCORPORATED
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