Business Information

Business Name:

UBI Number:

Business Type:

Business Status:

Principal Office Street Address:

Principal Office Mailing Address:

Expiration Date:

Jurisdiction:

Formation/ Registration Date:

Period of Duration:

Inactive Date:

Nature of Business:

Charitable Corporation:

Nonprofit EIN:

Most Recent Gross Revenue is less than $500,000:

Has Members:

Public Benefit Designation:

Host Home:

Registered Agent Information

Registered Agent Name:

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Street Address:

Mailing Address:

Name Reservation

Name Reservation Number:

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