Structure
The Wisconsin DFI Corp 113 C form is a crucial document for unincorporated nonprofit associations in the state of Wisconsin. This form allows these associations to officially appoint an agent to receive service of process, ensuring that there is a designated individual to handle legal communications. To complete the form, associations must provide their name, which must include specific terms indicating their unincorporated status, along with their address. Additionally, the form requires the name and address of the appointed agent, who must be located in Wisconsin. This agent must accept the role, affirming their responsibility to receive legal documents on behalf of the association. If the form is being used to amend a previously filed appointment, this must be clearly indicated. The completion of the form necessitates a signature from an authorized individual within the association, along with a filing fee of $15. This fee is non-refundable and must accompany the submission to the Department of Financial Institutions. Understanding the details and requirements of the Wisconsin DFI Corp 113 C form is essential for unincorporated nonprofit associations to maintain compliance and ensure proper legal representation.
Form Example
Sec. 184.10 Wis. Stats.
State of Wisconsin
Department of Financial Institutions
Division of Corporate and Consumer Services
UNINCORPORATED NONPROFIT ASSOCIATION – APPOINTMENT OF
AGENT
1. Name of the unincorporated nonprofit association:
(Name must include the words “unincorporated association,” “unincorporated assoc.” or end with the
abbreviation “U.A.” or “UA”.)
2. Address of the association:
(including street name and number, if any, city, state and ZIP code)
3.Name and address of the person in this state authorized to receive service of process on behalf of the association:
Name:
Address:
(including street name and number, city in Wisconsin, and ZIP code)
4.The person named in this statement has accepted the appointment to act as agent to receive service of process on behalf of the association.
5.Check the box below if this statement amends a previously filed appointment of agent to receive service of process.
!This statement supersedes and takes the place of any original, amended or restated statement previously filed.
6. Date:
|
(Signature) |
|
Title: |
|
, |
a person authorized to manage the affairs |
|
|
of the association. |
|
|
FILING FEE - $15.00 See instructions, suggestions and procedures on following page.
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UNINCORPORATED NONPROFIT ASSOCIATION –
APPOINTMENT OF AGENT (sec. 184.10, Wis. Stats.)
▲ Your return address and phone number during the day: ( |
) ______ - ____________ |
INSTRUCTIONS
Submit statement to DEPARTMENT OF FINANCIAL INSTITUTIONS, Div. of Corporate & Consumer Services, P O Box 7846, Madison WI,
Sec. 184.10, Wis. Stats., provides that an unincorporated nonprofit association may appoint a person as agent to receive service of process by filing a statement with the Department of Financial Institutions, using the form prescribed by the department.
1.Enter the name of the unincorporated nonprofit association.
2.Provide the address of the association, including street and number, if any. The address may be in Wisconsin or elsewhere.
3.Provide the name and address of the person designated by the association to receive service of process on its behalf. The address must reflect the agent’s physical location, i.e., street name, number, city in Wisconsin, and ZIP code.
4.This association must affirm that the registered agent has accepted the appointment to act as to receive service of process on behalf of the association.
5.If the statement is amending a statement previously filed, indicate that by marking (X) this item.
6.Enter the date the statement is signed, the title of the signer, and a signature. The statement is to be signed by a person who is authorized to manage the affairs of the unincorporated nonprofit association.
This form is not appropriate for use by an incorporated association. If the association is incorporated, request and file “Change of Registered Agent and/or Registered Office” as provided by the statutory chapter under which it is organized.
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Document Specs
| Fact Name | Details |
|---|---|
| Governing Law | The form is governed by Sec. 184.10 of the Wisconsin Statutes. |
| Purpose of the Form | This form is used to appoint an agent to receive service of process for an unincorporated nonprofit association. |
| Name Requirement | The name of the association must include “unincorporated association,” “unincorporated assoc.,” or end with “U.A.” or “UA.” |
| Filing Fee | A non-refundable filing fee of $15.00 is required when submitting the form. |
| Agent Appointment | The designated agent must accept the appointment to receive service of process on behalf of the association. |
| Address Requirement | The form requires the association's address, including street name, number, city, state, and ZIP code. |
| Amendment Option | If the statement amends a previously filed appointment, the appropriate box must be checked. |
| Signature Requirement | The form must be signed by an authorized person who manages the affairs of the association. |
| Submission Instructions | Submit the completed form to the Department of Financial Institutions, along with the filing fee. |
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