*If different from Email Address: above J. PRIMARY Name: SCHOOL CONTACT Phone Number: *If Different from, or in Email Address: addition to above Name: K. DESIGNATED Address: AGENT Phone Number: INFORMATION Email Address: *Name and Colorado address of designated agent upon whom any process, notice or demand may be served, this address must be separate than that of the school L. TYPE OF Sole Proprietorship BUSINESS Name: Address: Phone Number: Email Address: Partnership Name: Attach a list of the name, home address, phone number and title of positions of each partner/owner. Indicate which, if any, maintains controlling interest in the school. If applicable, attach a copy of the Articles of Incorporation and Certificate of Good Standing from the Office of the Secretary of State Corporation Name: Attach a list of the name, home address, phone number and title of each corporate officer/member. Also, attach a list showing the same information on any stockholder(s) having controlling interest in the school. Attach a copy of the Articles of Incorporation and Certificate of Good Standing from the Office of the Secretary of State If an out-of-state corporation, include Statement of Foreign Entity Authority to transact business in Colorado. LLC (Limited Liability Company) Name: Attach a list of the name, home address, phone number and title of each corporate officer/member. Also, attach a list showing the same
*If different from above Email Address: J. PRIMARY SCHOOL CONTACT *If Different from, or in addition to above Name: Phone Number: Email Address: K. DESIGNATED AGENT INFORMATION *Name and Colorado address of designated agent upon whom any process, notice or demand may be served, this address must be separate than that of the school Name: Address: Phone Number: Email Address: L. TYPE OF BUSINESS Sole Proprietorship Name: Address: Phone Number: Email Address: Partnership Name: Attach a list of the name, home address, phone number and title of positions of each partner/owner. Indicate which, if any, maintains controlling interest in the school. If applicable, attach a copy of the Articles of Incorporation and Certificate of Good Standing from the Office of the Secretary of State Corporation Name: Attach a list of the name, home address, phone number and title of each corporate officer/member. Also, attach a list showing the same information on any stockholder(s) having controlling interest in the school. Attach a copy of the Articles of Incorporation and Certificate of Good Standing from the Office of the Secretary of State If an out-of-state corporation, include Statement of Foreign Entity Authority to transact business in Colorado. LLC (Limited Liability Company) Name: Attach a list of the name, home address, phone number and title of each corporate officer/member. Also, attach a list showing the same
New%20School%20Application%20Fillable%20Final.docx