TELL US ABOUT YOUR BUSINESS

PushStart Business Formation Questionnaire

"*" indicates required fields

1Basic Information

2Contact Person

3Main Mailing Address of Corporation

4Registered Agent

5EIN / Tax Identification Number Information

6Directors

7Director Name

8Director(s) Name

9Director(s) Name

10Officer(s) Name

11Nature of Business

12State Filing Time & Pick Your Package

13Order Review & Payment

BASIC INFORMATION

Name of Corporation*

Designator*

Must indicate corporation designator after name

Second Name Choice

State of Incorporation*

PushStart is not responsible for federal and/or state trademark searches or applications on the use of your proposed name.

Filing your company name with the state does not provide or guarantee protection for its use. We recommend you seek the services of a specialist who specializes in intellectual property law to protect all trademarks, service marks, copyrights and patents.

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IRS FILING

Do you wish to file the S Corporation election with IRS?*

Yes

Will decide at a later date

NOTE: PushStart will file a corporation in each state based on the maximum authorized shares for the minimum state filing fee, unless you direct otherwise. Additional shares may be subject to additional state filing fees.

Professional Corporation*

Licensed Profession

Yes

Are you a licensed contractor?*

Licensed Profession

Yes

Trade*

License #*

Fiscal Year End - For C Corporation Only (Closing month of accounting year)*

CONTACT PERSON

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Fax

Email*

Website

MAIN MAILING ADDRESS OF CORPORATION

Address*

Same as previous

Street Address Address Line 2 City State ZIP Code

SHIPPING ADDRESS

For Final Documents or Corporate Kit

Business / Residence*

Business

Residence

Address*

Same as previous

Street Address Address Line 2 City State ZIP Code

REGISTERED AGENT

What is a registered agent?

Each state requires that you provide a Registered Agent for service of process.

A registered agent is responsible for accepting legal documents such as service of process, law suits or other types of legal notices, etc. on behalf of the company.

The name and the physical street address of the agent for services of process is a public record viewable to all (as are all the addresses of the Corporation provided in filings)

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PLEASE CHOOSE ONE OF THE FOLLOWING OPTIONS*

PushStart will provide a Registered Agent ($90)

I will provide my own Registered Agent

Registered Agent Fee

Price:

Name*

First Last

Address must be in state of incorporation // No PO Boxes*

Street Address

Untitled

Address Line 2

Untitled*

City

State*

State

Phone*

Email*

EIN / TAX IDENTIFICATION NUMBER INFORMATION

An Employer Identification Number (EIN) is a nine-digit number that is assigned by the IRS and used to identify taxpayers. We will apply and obtain your EIN from the IRS electronically. This option is the fastest way to obtain the EIN.

I am a foreign individual and do not have a social security number.*

Yes

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Identification number by which I will obtain the EIN*

ITIN

SSN

ITIN*

SSN*

To ensure that your order is not delayed, please ensure that the requested information is provided accurately. The name provided should be one of the officers (usually the president) and should match the name provided to the IRS for any recent tax filings. The SSN is used by IRS for individual verification purposes only and for no other purpose.

DIRECTORS

How many directors?*

3 or More

DIRECTOR'S NAME

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

DIRECTORS' NAMES

Director 1 Name*

First Last

Director 1 Address*

Street Address Address Line 2 City State ZIP Code

Director 1 Email

Director 2 Name*

First Last

Director 2 Address*

Street Address Address Line 2 City State ZIP Code

Director 2 Email

DIRECTORS' NAMES

Director 1 Name*

First Last

Director 1 Address*

Street Address Address Line 2 City State ZIP Code

Director 1 Email

Director 2 Name*

First Last

Director 2 Address*

Street Address Address Line 2 City State ZIP Code

Director 2 Email

Director 3 Name*

First Last

Director 3 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Director 3 Email

If your company has more than three Directors, please add them here.

OFFICERS' NAMES

President*

First Last

Name of Secretary*

First Last

Name of Treasurer*

First Last

NATURE OF BUSINESS

Describe in detail the type of business your company will transact.*

Indicate the principal line of merchandise sold; specific construction work done; products produced; or services provided:*

Comments

STATE FILING TIME

The standard state filing time varies upon the state you choose to form your business. It typically takes 3-7 business days. In a hurry? We offer an expedited filing option as well. Select the filing time that best meets your needs.

State Filing Options*

Standard Service

Expedited Service ($50)

OUR PACKAGES

Pick Your Package*

STARTER

$199

Clearance of company name

Preparation & filing Articles of Incorporation

Preparation & filing required state reports

Securing EIN (Tax ID Number)

Annual Compliance Alerts

Select

COMPREHENSIVE

$499

Clearance of company name

Preparation & filing Articles of Incorporation

Securing EIN (Tax ID Number)

Annual Compliance Alerts

Bylaws

Minutes & banking resolution

Stock Certificates

Corporate book & seal

Select

PREMIUM

$1199

Clearance of company name

Preparation & filing Articles of Incorporation

Preparation & filing required state reports

Securing EIN (Tax ID Number)

Annual Compliance Alerts

Bylaws

Minutes & banking resolution

Stock Certificates

Corporate book & seal

Minute book walk-through

Ongoing consultation for one year

Select

REVIEW ORDER FOR {Name of Corporation:1}

{all_fields:exclude[163,167,97,161,162,63,168,99,100,101,order_summary]}

ORDER SUMMARY

{order_summary}

PAYMENT INFORMATION

Payment Options

Affirm Payments (Pay at Your Own Pace)

Credit Card

Credit Card*

Card Details

Cardholder Name

Affirm Payment

This field is for validation purposes and should be left unchanged.

Affirm Checkout

57397

TELL US ABOUT YOUR BUSINESS

PushStart Business Formation Questionnaire

"*" indicates required fields

Step 1 of 13 - Basic Information

BASIC INFORMATION

Name of Corporation*

Designator*

Must indicate corporation designator after name

Second Name Choice

State of Incorporation*

PushStart is not responsible for federal and/or state trademark searches or applications on the use of your proposed name.

Section Break

IRS FILING

Do you wish to file the S Corporation election with IRS?*

Yes

Will decide at a later date

Professional Corporation*

Licensed Profession

Yes

Are you a licensed contractor?*

Licensed Profession

Yes

Trade*

License #*

Fiscal Year End - For C Corporation Only (Closing month of accounting year)*

CONTACT PERSON

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Fax

Email*

Website

MAIN MAILING ADDRESS OF CORPORATION

Address*

Same as previous

Street Address Address Line 2 City State ZIP Code

SHIPPING ADDRESS

For Final Documents or Corporate Kit

Business / Residence*

Business

Residence

Address*

Same as previous

Street Address Address Line 2 City State ZIP Code

REGISTERED AGENT

What is a registered agent?

Each state requires that you provide a Registered Agent for service of process.

A registered agent is responsible for accepting legal documents such as service of process, law suits or other types of legal notices, etc. on behalf of the company.

The name and the physical street address of the agent for services of process is a public record viewable to all (as are all the addresses of the Corporation provided in filings)

Section Break

PLEASE CHOOSE ONE OF THE FOLLOWING OPTIONS*

PushStart will provide a Registered Agent ($90)

I will provide my own Registered Agent

Registered Agent Fee

Price:

Name*

First Last

Address must be in state of incorporation // No PO Boxes*

Street Address

Untitled

Address Line 2

Untitled*

City

State*

State

Phone*

Email*

EIN / TAX IDENTIFICATION NUMBER INFORMATION

I am a foreign individual and do not have a social security number.*

Yes

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Identification number by which I will obtain the EIN*

ITIN

SSN

ITIN*

SSN*

DIRECTORS

How many directors?*

3 or More

DIRECTOR'S NAME

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

DIRECTORS' NAMES

Director 1 Name*

First Last

Director 1 Address*

Street Address Address Line 2 City State ZIP Code

Director 1 Email

Director 2 Name*

First Last

Director 2 Address*

Street Address Address Line 2 City State ZIP Code

Director 2 Email

DIRECTORS' NAMES

Director 1 Name*

First Last

Director 1 Address*

Street Address Address Line 2 City State ZIP Code

Director 1 Email

Director 2 Name*

First Last

Director 2 Address*

Street Address Address Line 2 City State ZIP Code

Director 2 Email

Director 3 Name*

First Last

Director 3 Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Director 3 Email

If your company has more than three Directors, please add them here.

OFFICERS' NAMES

President*

First Last

Name of Secretary*

First Last

Name of Treasurer*

First Last

NATURE OF BUSINESS

Describe in detail the type of business your company will transact.*

Indicate the principal line of merchandise sold; specific construction work done; products produced; or services provided:*

Comments

STATE FILING TIME

State Filing Options*

Standard Service

Expedited Service ($50)

OUR PACKAGES

Pick Your Package*

STARTER

$199

Clearance of company name

Preparation & filing Articles of Incorporation

Preparation & filing required state reports

Securing EIN (Tax ID Number)

Annual Compliance Alerts

Select

COMPREHENSIVE

$499

Clearance of company name

Preparation & filing Articles of Incorporation

Securing EIN (Tax ID Number)

Annual Compliance Alerts

Bylaws

Minutes & banking resolution

Stock Certificates

Corporate book & seal

Select

PREMIUM

$1199

Clearance of company name

Preparation & filing Articles of Incorporation

Preparation & filing required state reports

Securing EIN (Tax ID Number)

Annual Compliance Alerts

Bylaws

Minutes & banking resolution

Stock Certificates

Corporate book & seal

Minute book walk-through

Ongoing consultation for one year

Select

REVIEW ORDER FOR {Name of Corporation:1}

{all_fields:exclude[163,167,97,161,162,63,168,99,100,101,order_summary]}

ORDER SUMMARY

{order_summary}

PAYMENT INFORMATION

Payment Options*

Affirm Payments (Pay at Your Own Pace)

Credit Card

Credit Card*

Card Details

Cardholder Name

Affirm Payment

Name

This field is for validation purposes and should be left unchanged.

Affirm Checkout

62870

TELL US ABOUT YOUR BUSINESS

BASIC INFORMATION

PushStart is not responsible for federal and/or state trademark searches or applications on the use of your proposed name.

Section Break

IRS FILING

CONTACT PERSON

MAIN MAILING ADDRESS OF CORPORATION

SHIPPING ADDRESS

REGISTERED AGENT

What is a registered agent?

Section Break

EIN / TAX IDENTIFICATION NUMBER INFORMATION

DIRECTORS

DIRECTOR'S NAME

DIRECTORS' NAMES

DIRECTORS' NAMES

OFFICERS' NAMES

NATURE OF BUSINESS

STATE FILING TIME

OUR PACKAGES

ORDER SUMMARY

PAYMENT INFORMATION

TELL US ABOUT YOUR BUSINESS

BASIC INFORMATION

PushStart is not responsible for federal and/or state trademark searches or applications on the use of your proposed name.

Section Break

IRS FILING

CONTACT PERSON

MAIN MAILING ADDRESS OF CORPORATION

SHIPPING ADDRESS

REGISTERED AGENT

What is a registered agent?

Section Break

EIN / TAX IDENTIFICATION NUMBER INFORMATION

DIRECTORS

DIRECTOR'S NAME

DIRECTORS' NAMES

DIRECTORS' NAMES

OFFICERS' NAMES

NATURE OF BUSINESS

STATE FILING TIME

OUR PACKAGES

ORDER SUMMARY

PAYMENT INFORMATION

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