Application for Amendment-Withdrawal - Nonprofit Form Instructions

The instructions are listed in numerical order to align with the form. These instructions are intended for use with amendments or withdrawals of the application for authority for foreign nonprofit corporations.

Select the appropriate filing type:

AMENDMENT TO APPLICATION FOR AUTHORITY (Complete only 1, 2, 8)

or

WITHDRAWAL OF AUTHORITY TO TRANSACT BUSINESS (Complete only 3, 4, 5, 6, 7, 8)

  1. NAME OF THE ENTITY: 

  2. AMENDMENT: State the amendments.

  3. NAME OF THE ENTITY: This section and all that follows are required for withdrawal.

  4. STATE OR COUNTRY OF FILING: Home jurisdiction.

  5. STATEMENT FOR WITHDRAWAL: This Corporation is not transacting business in Oregon and surrenders its authority to transact business in Oregon.

  6. STATEMENT FOR WITHDRAWAL: Revocation of authority. The Secretary of State will accept service of process for the Corporation.

  7. MAILING ADDRESS: Mailing address to which the person initiating any proceeding may mail to the Corporation a copy of any process, notice or demand that has been served on the Secretary of State.​

  8. EXECUTION / SIGNATURE: (Must be signed by at least one officer or director) Signer must declare as authorized signer, under penalty of perjury, that this document does not conceal fraudulently, fraudulently alters or misrepresents the identity of the person or any official, director, employee or agent of the corporation. This document has been examined and true, correct and complete. Making false statements in this document is against the law and can be penalized with fines, imprisonment or both.
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