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 MDIS CORPORATE INFORMATION FORM

MDIS Professional Accounting & Tax Service, (MDIS) will prepare and file all paperwork necessary to form your corporation. Filing time varies by state, but we process your order within 24 hours of receipt of payment.

Contact us directly for price and instructions.  Please print this form, fill out the information and mail it to the following address, or please fill in the email form below and mail your payment to the following address:

Type of Corporation (check one):

 _______ Standard C Corporation
 _______ Non-Profit, Non-Stock _______ S Corporation

Name of Corporation:

Your desired name must contain one of the following words or their abbreviations to be a valid name: *Incorporated* Company or *Corporation* Limited.

First Choice: _____________________
 Second Choice: ___________________

(If the first choice is not available we will use the second choice)

Address:

Please send all correspondence relevant to this corporation to:

First Name ____________________Last Name____________________
 Street address (No P.O. Boxes) ________________________________
 City ________________State ___________________Zip_____________
 Phone ________________________ FAX ________________________
 E-mail _____________________________________________________

Principal Business Activity:

__________________________________________________________

Directors of the Corporation:

Please provide the name and address information of the director(s).

DIRECTOR 1

First Name ____________________Last Name____________________
 Street address ____________________________Apt # _____________
 City ________________State ___________________Zip_____________
 Phone ________________________ FAX ________________________
 E-mail _____________________________________________________

DIRECTOR 2

First Name ____________________Last Name____________________
 Street address ____________________________Apt # _____________
 City ________________State ___________________Zip_____________
 Phone ________________________ FAX ________________________
 E-mail _____________________________________________________

DIRECTOR 3

First Name ____________________Last Name____________________
 Street address ____________________________Apt # _____________
 City ________________State ___________________Zip_____________
 Phone ________________________ FAX ________________________
 E-mail _____________________________________________________

Officers of the Corporation:

One officer can hold all positions. The officer can also be a Director and/or Shareholder:

President: _____________________________________________
 Vice President: _________________________________________
 Secretary: _____________________________________________
 Treasurer: _____________________________________________

 Capital Stock Authorized:

By default, your articles are filed with 2000 shares at an unstated par value so your corporation would pay the minimum initial fees with the exception of a Non-Profit, Non-Stock corporation. A Non Profit/Non Stock corporation must be zero shares. If you would like to change the total shares or par value you are free to do so.

Number of Shares Authorized: ___________________________________

Registered Agent:

NO PO BOXES PLEASE

First Name __________________Last Name___________________
 Street address _________________________ Apt # _____________
 City ______________State _________________Zip_____________
 Phone ________________________ FAX ________________________

Additional Services:

Please indicate the additional services you will require:

__________Prepare IRS Form 2553 to elect S Corporation Status
 __________Prepare Fictitious Business name Statement
 __________Set Up Corporate Accounting Books
 __________Annual Corporate Minutes
 __________Other

Email Form:

Type of Corporation (check one):

 Name of Corporation:

First Choice:

 Second Choice:

Your desired name must contain one of the following words or their abbreviations to be a valid name: *Incorporated* Company or *Corporation* Limited.

 (If the first choice is not available we will use the second choice)

Address:

Please send all correspondence relevant to this corporation to:

First Name:

Last Name:

Street Address (No P.O. Boxes):

City:

State:

Zip:

Phone:

Fax:

E-mail:

Principal Business Activity:

Directors of the Corporation:

Please provide the name and address information of the director(s).

First Name:

Last Name:

Street Address (No P.O. Boxes):

Street Address (No P.O. Boxes):

City:

State:

Zip:

Phone:

Fax:

E-mail:

DIRECTOR 3

First Name:

Last Name:

Street Address (No P.O. Boxes):

City:

State:

Zip:

Phone:

E-mail:

Fax:

DIRECTOR 1

Officers of the Corporation:

One officer can hold all positions. The officer can also be a Director and/or Shareholder:

President:

Vice-President:

 Secretary:

 Treasurer:

 Capital Stock Authorized:

By default, your articles are filed with 2000 shares at an unstated par value so your corporation would pay the minimum initial fees with the exception of a Non-Profit, Non-Stock corporation.  A Non Profit/Non Stock corporation must be zero shares. If you would like to change the total shares or par value you are free to do so.

Number of Shares Authorized:

 Registered Agent:

First Name:

Last Name:

NO PO BOXES PLEASE

Street Address (No P.O. Boxes):

City:

State:

Zip:

Phone:

Fax:

Additional Services:

Please indicate the additional services you will require:

 Or erase and

 all selection(s).