Fillable Printable Statement of Information Form - California
Fillable Printable Statement of Information Form - California
Statement of Information Form - California
Secretary of State
Business Programs Division
Statement of Information, P.O. Box 944230, Sacramento, CA 94244-2300
Free Electronic Copy for Statements of Information Filed Online
Effective October 14, 2013
The Secretary of State's office is excited to announce that Monday, October 14th, 2013, corporations who use
our online E-file service for submitting the required Statement of Information will be able to request a FREE
PDF copy of the filed statement at the time of submission. ement at the time of submission.
By simply providing an email address as part of the submission process,an image of the filed statement in
PDF format is emailed automatically once the statement issuccessfully processed. The email address
provided for purposes of receiving a free filed copy is not public information, and is deleted from our system
once the image of the filed statement is sent.
By simply providing an email address as part of the submission process,an image of the filed statement in
PDF format is emailed automatically once the statement issuccessfully processed. The email address
provided for purposes of receiving a free filed copy is not public information, and is deleted from our system
once the image of the filed statement is sent.
The required Statement of Information for most corporations can be filed onlineThe required Statement of Information for most corporations can be filed online and is processed generally in
one business day. A free PDF copy of the submitted Statement of Information will be returned electronically
following confirmation of payment, if an email address is provided. Additional plain copies and certified copies
may be requested at a later time in person or by mail.Refer to Information Requests for information about
obtaining additional copies.
Online Copies: Annual/Biennial Statements of Information (Rev. 10/31/2013)www.sos.ca.gov/business/be
(916) 657-5448
Instructions For Completing Form SI-100
For faster processing, the required statement for most corporations can be filed online at //businessfilings.sos.ca.gov.
Every domestic nonprofit, credit union and consumer cooperative corporation must file a Statement of Information with the California
Secretary of State, within 90 days after the filing of the initial Articles of Incorporation, and biennially* thereafter during the applicable filing
period. The applicable filing period for a corporation is the calendar month during which the initial Articles of Incorporation were filed and the
immediately preceding five calendar months. A corporation is required to file this statement even though it may not be actively engaged in
business at the time this statement is due. Changes to information contained in a previously filed statement can be made by filing a new form,
completed in its entirety. *Credit unions and consumer cooperative corporations are required to file annually instead of biennially.
LegalAuthority: Statutory filing provisions are found in California Corporations Code sections6210, 8210, 9660, or 12570 and California
Financial Code section 14101.6, unless otherwise indicated. All subsequent statutory referencesare to the California Corporations Code,
unless otherwise stated. Failure to file thisStatement of Information by the due date may result in the assessment of a$50.00 penalty.
(Sections6810, 8810, 9690, or 12670; California Revenue and Taxation Code section 19141.)
Fees:The fee for filing the Statement of Information is$20.00. Checks should be made payable to the Secretary of State. If this statement is
being filed to amend any information on a previously filed statement and is being filed outside the applicable filing period, as defined above, no
feeis required.
Copies: To get a copy of the filed statement, include a separate request and payment for copy fees when the statement is submitted. Copy
fees are $1.00 for the first page and $.50 for each additional page. For certified copies, there is an additional $5.00 certification fee, per copy.
Common Interest Development Association: Every domesticnonprofit corporation formed to manage a common interest development
under the Davis-Stirling Common Interest Development Act(for example, a homeowners’ association) or the Commercialand Industrial
Common Interest Development Act also must file a Statement By Common Interest Development Association (Form SI-CID) together with the
biennial Statement of Information (California Civil Code sections5405 and 6760). Both forms are available on the Secretary of State’s website
atwww.sos.ca.gov/business/be/statements.htm.
Complete the Statement of Information (Form SI-100) as follows:
Item 1.Enter the name of the corporation exactly as it is of record with the California Secretary of State.
Item 2.
Enter the corporation number issued by the California Secretary of State.
Item 3.
Enter the complete street address, city and zip code of the corporation’s principal office in California, if any. Please do not enter a
P.O. Box or abbreviate the name of the city. Note: a credit union must enter the street addressof the corporation’s principal office, if
any, whether the office is located in or outside of California.
Item 4.
Enter the mailing address ofthe corporation, if different from the street address of the principal office in California or if the
corporation has no principal office in California.
Items
5-7.
Enter the name and complete business or residential address of the corporation's chief executive officer (i.e., president), secretary
and chief financial officer (i.e., treasurer). Please do not abbreviate the name of the city. The corporation mustlist these three
officers. Any number of offices may be held by the same person unless the articles or bylaws provide otherwise, except, in the case
of a nonprofitpublicbenefitor religious corporation, neither the secretary nor the chief financial officer or treasurer may serve
concurrently as the president or chair of the board (Sections5213 or 9213). Please note,unless the articles or bylaws provide
otherwise, the president, or if there is no president, the chair ofthe board, is the chief executive officer ofthe corporation.
Additionally, unless otherwise specified in the articles or the bylaws, if there is no chief financial officer, the treasurer is the chief
financial officer of the corporation. A comparable title for the specific officer may be added; however, the preprinted titles on this form
must not be altered,except in the case of
a consumer cooperative corporation, which may include the name and addressof its
general manager in lieu of the name and address of its chief executive officer. (Section 12570(a).)
Item 8.
Enter the name of the agent for service of process in California. An agent is an individual (director, officer or any other person,
whether or not affiliated with the corporation) who resides in California or another corporation designated to accept service of process
if the corporation is sued. The agentmust agree to accept service of process on behalf of the corporation prior to designation.
If an individual is designated as agent, complete Items8 and 9. If another corporation is designated as agent, complete Item 8 and
proceed to Item 10 or Item 11, as applicable (do not complete Item 9).
Note:Before another corporation may be designated as agent, that corporation must have previously filed with the California
Secretary of State, a certificate pursuant to Section 1505. A corporation cannot act as its own agentand no domestic or foreign
corporation may file pursuant to Section 1505 unless the corporation is currently authorized to engage in business in California and is
in good standing in the records of the California Secretary of State.
Item 9.If an individual is designated as agent for service of process, enter a business or residential street address in California (a P.O. Box
addressis not acceptable).Please do not enter “in care of” (c/o) or abbreviate the name of the city. If another corporation is
designated as agent, leave Item 9 blank and proceed to Item 10 or Item 11, as applicable.
Common Interest Development Corporations:
Item 10. Check a box only if the corporation is formed to manage a common interest development. If the corporation isnot formed to manage
a common interest development, do not check either box and proceed to Item 11.
Item 11. Type or print the name and title of the person completing this form and enter the date this form was completed.
Completed formsalong with the applicable fees can be mailed to Secretary of State, Statement of Information Unit, P.O.Box944230,
Sacramento, CA94244-2300 or delivered in person (drop off) to the Sacramento office, 1500 11th Street, Sacramento, CA 95814. If you are
not completing thisform online, please type or legibly print in black or blue ink. Thisform must not be altered. This formis filed only in the
Sacramento office.
N
State of California
Secretary of State
Statement of Information
(Domestic Nonprofit, Credit Union and Consumer Cooperative Corporations)
Filing Fee: $20.00. If this is an amendment, see instructions.
IMPORTANT – READ INSTRUCTIONS BEFORE COMPLETING THIS FORM
1. CORPORATE NAME
2.
CALIFORNIACORPORATE NUMBER
This Space for Filing Use Only
Complete Principal Office Address
(Do not abbreviate the name of the city. Item 3 cannot be a P.O. Box.)
3. STREET ADDRESS OF PRINCIPAL OFFICE IN CALIFORNIA, IF ANY
C
ITYSTATE
CA
ZIP CODE
4. MAILING ADDRESS OF THE CORPORATION
ITYSTATE C
ZIP CODE
5. EMAIL ADDRESS FOR RECEIVING STATUTORY NOTIFICATIONS
Names and Complete Addresses of the Following Officers
(The corporation must list these three officers. A comparable title for the specific
officer may be added; however, the preprinted titles on this form must not be altered.)
5. CHIEF EXECUTIVE OFFICER/
ADDRESS
ITYSTATE C
ZIP CODE
6. SECRETARY
ADDRESS
CITY STATE
ZIP CODE
7. CHIEF FINANCIAL OFFICER/
ADDRESS
ITYSTATE C
ZIP CODE
Agent for Service of Process
If the agent is an individual, the agent must reside in California and Item 9 must be completed with a California street
address, a P.O. Box address is not acceptable. If the agent is another corporation, the agent must have on file with the California Secretary of State a
certificate pursuant to California Corporations Code section 1505 and Item 9 must be left blank.
8. NAME OF AGENT FOR SERVICE OF PROCESS
9.
STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INDIVIDUAL
CITYSTATE
CA
ZIP CODE
Common Interest Developments
10.
Check here if the corporation is an association formed to manage a common interest development under the Davis-Stirling Common Interest
Development Act, (California Civil Code section 4000, et seq.) or under the Commercial and Industrial Common Interest Development Act,
(California Civil Code section 6500, et seq.). The corporation must file a Statement by Common Interest Development Association (Form SI-CID) as
required by California Civil Code sections 5405(a) and 6760(a). Please see instructions on the reverse side of this form.
11. THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT.
DATE TYPE/PRINT NAME OF PERSON COMPLETING FORM TITLE SIGNATURE
SI-100 (REV 01/2014) APPROVED BY SECRETARY OF STATE
