INCORPORATION QUESTIONNAIRE
(Delaware Corporation)
1.
Contact Information:
Address:
(street address necessary)
Contact Person:
Email address:
Telephone number:
2.
Name:
a.
Proposed name of corporation
b.
Has name been reserved?
If yes, when will reservation expire?
c.
3.
Name must also be available for use in the following states:
Trademark:
a.
Should Orrick request a trademark search regarding the name?
If yes, how should the search be performed?
_____ On-line search ($100.00 for legal fees and database access costs)
_____ Thomson & Thomson search ($390.00 per mark)
4.
b.
Mark(s) or name(s) to search:
c.
If mark or name is clear, should Orrick carry out trademark prosecution?
Description of the Business:
a.
Brief description of proposed business activities:
5.
In which other states will the corporation do business or own property?
6.
Name and street address of initial agent for service of process:
a.
In Delaware:
Corporation Service Company, 2711 Centerville Road, Suite 400, Wilmington,
Delaware 19808
Other:
b.
In California, or other state in which Company will do business (preferably an
individual):
Corporation Service Company, which will do business in California as CSCLawyers Incorporating Service
Other:
7.
Directors:
a.
Number: fixed at __________
OR
flexible number of directors:
b.
i.
minimum of __________
ii.
maximum of __________
iii.
initially fixed at ________
Initial directors (the first director listed will be designated the Chairman of the
Board):
Name
8.
Street Address
(business or residence)
Email Address
Officers:1
Designated
Officers
Name
Title
Street Address
(business or
residence)
CEO
President
Treasurer
Secretary
1 The same person can hold more than one office.
2
Email
Address
Other
9.
Capitalization:
a.
Number of each class of authorized shares:
i.
shares of common: _______________
par value per share: ________________
ii.
_____ shares of __________ (attach description)
$_____ par value
iii.
_____ shares of __________ (attach description)
$_____ par value
b.
Number of shares to be initially issued:
c.
Proposed initial stockholders and consideration:
Name and Address
Number of
Shares
Class of
Stock
Amount and Form
of Consideration
Describe Any Special Vesting Provisions:
d.
Will any of the funding be provided indirectly or directly by non-U.S. investors?
__________
If yes, what percentage voting interest in the corporation will the non-U.S.
investor(s) acquire? _______________2
2 If the percentage ownership of the non-U.S. investors is calculated as 10% or greater and the
company has value over a certain threshold defined by the Bureau of Economic Analysis, the
corporation will be required to make a filing (i.e., Form BE-605 or filing with the U.S.
Department of Commerce to report the acquisition). The corporation can take advantage of an
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10.
Additional Information:
a.
Fiscal year of corporation ends (generally suggest 12/31):
b.
Accountants (name, address and telephone):
c.
Bank (name and address):
exemption if the threshold is not met, but it must make a filing in order to do so. See:
http://www.bea.gov/surveys/fdiusurv.htm
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