Foreign Qualification Application

STATEMENT AND DESIGNATION BY FOREIGN CORPORATION

Foreign Stock Corporation — California Preparation Worksheet

The California Secretary of State currently accepts the foreign stock-corporation qualification filing online through bizfile Online. Use this worksheet to collect the information required by California Corporations Code section 2105 and the live filing workflow.

1. CORPORATE NAME AND JURISDICTION

Exact corporate name:

[____________________________________________________________]

Alternate name adopted for California, if the exact name is unavailable or does not comply with California naming law:

[____________________________________________________________]

State, country, or other place of incorporation:

[____________________________________________________________]

The filing states that the corporation is authorized to exercise its powers and privileges in that jurisdiction. If an alternate name is required, it must satisfy the process in California Corporations Code section 2106 and must be used in the corporation's California affairs and dealings with the Secretary of State.

2. BUSINESS ADDRESSES

2.1 Principal Office Street Address

2.2 Principal Office in California, If Any

2.3 Principal Office Mailing Address, If Different

3. CALIFORNIA AGENT FOR SERVICE OF PROCESS

Choose one agent type.

3.1 Individual California Agent

3.2 Registered Corporate Agent

Exact name of the California corporation that has complied with California Corporations Code section 1505:

[____________________________________________________________]

Do not enter an address for a registered corporate agent. California law does not require a separate agent-consent attachment to the qualification filing.

The statutory filing includes the corporation's irrevocable consent to service on the designated agent and to service on the Secretary of State if that agent or successor is no longer authorized or cannot be found at the stated address.

4. INSURER STATUS

Will the corporation be subject to the California Insurance Code as an insurer?

☐ No

☐ Yes — complete the insurer-specific qualification process and any required Insurance Commissioner approval.

5. REQUIRED CERTIFICATE

Obtain a current certificate from an authorized public official in the jurisdiction of incorporation stating that the corporation is existing and in good standing there. Submit it with the online Statement and Designation.

The current statute requires a good-standing certificate but does not state a specific age in section 2105. Follow any more specific currency instruction displayed in the live bizfile Online workflow.

6. SIGNATURE AND FEE

The Statement and Designation must be signed by a corporate officer. The Secretary of State's sample form states that the officer's title is not required.

Statutory filing fee for a foreign stock corporation: $100.00.

California accepts electronic signatures only through the Secretary of State's online process. Do not place a computer-generated signature or signature-style font on a paper filing.

7. INITIAL AND ANNUAL STATEMENTS OF INFORMATION

File the first foreign-corporation Statement of Information within 90 days after the Statement and Designation is filed and file annually thereafter during the applicable filing period.

Prepare the following information for the Statement of Information:

• California registered name and Secretary of State file number.
• Chief executive officer, secretary, and chief financial officer names and complete business or residence addresses.
• Principal executive-office street address and any different mailing address.
• California principal business-office street address, if any.
• Optional email address for electronic renewal notices.
• General type of principal business activity.
• Required wage-judgment disclosure concerning officers or directors.
• Current agent for service of process.

The statutory filing fee is $20 plus a $5 disclosure fee, for a total of $25. A current statement may be filed when information changes; changing the agent or an individual agent's address requires a current Statement of Information.

8. LATER NAME, ADDRESS, AND AGENT CHANGES

8.1 Corporate or Alternate Name

File the prescribed Amended Statement by Foreign Corporation when the foreign corporation changes its actual name or makes a change affecting its California alternate name. For an actual name change, attach a certificate from the foreign jurisdiction, issued within the six months before submission, confirming that the change complied with that jurisdiction's law.

8.2 Office or Agent Information

Use a current Statement of Information under California Corporations Code section 2117 to change the principal-office addresses, the agent for service of process, or an individual agent's address. California Corporations Code section 2107 does not impose the legacy template's blanket 30-day amendment deadline or require amended qualification for authorized-share changes.

9. FILING CHECKLIST

• ☐ Confirm that the corporation will transact intrastate business and needs qualification.
• ☐ Confirm name availability and determine whether an alternate California name is required.
• ☐ Gather the exact corporate name, jurisdiction, and all required office addresses.
• ☐ Select an eligible individual or registered corporate agent.
• ☐ Obtain the current good-standing certificate required by the live workflow.
• ☐ Complete and sign the online Statement and Designation as a corporate officer.
• ☐ Pay the current $100 statutory filing fee and any separately selected service fee.
• ☐ Save the filed record and certificate of qualification.
• ☐ Calendar the first Statement of Information within 90 days and the annual filing period thereafter.

SOURCES AND REFERENCES

• Cal. Corp. Code § 2105 — Initial statement and designation
• Cal. Corp. Code § 2106 — Alternate names and certificate of qualification
• Cal. Corp. Code § 2107 — Amended statements
• Cal. Corp. Code § 2117 — Foreign-corporation Statements of Information
• Cal. Gov. Code § 12186 — Corporate filing fees
• California Secretary of State — Foreign corporation forms and online filing
• California Secretary of State — Electronic-signature FAQ