REG NO. ___________________

 

 

 

 
(OFFICE USE ONLY)
REGISTRATION OF UNINCORPORATED NONPROFIT ASSOCIATION

PURSUANT TO CALIFORNIA CORPORATIONS CODE SECTION 21030 and 21300

Instructions:

  1. Complete and mail to: Secretary of State.
    P O. Box 944225. Sacramento, CA 94244-22.50 (916) 653-3365
  2. Include filing fee of $10.00 per box checked below.
    Enclose an additional $6 00 if a certified copy is requested.

Association includes any lodge, order. beneficial association, fraternal or beneficial society, historical military, or veterans organization, labor union, foundation, or federation, or any other society, organization or association, or degree, branch, subordinate lodge, or auxiliary thereof.

Registration for
Name Insignia Alteration Cancellation

Association Name
 Silicon Valley Overland Robotics Association

Street or Mailing Address
 999 Woodland Avenue

 City and State
Menlo Park, CA

Zip Code
 94025

Nature of Alteration (If any)
Description of Insignia, which rnay include badge, motto, button, decoration, charm, emblem, or rosette.
Attach Facsimile
I declare under penalty of perjury under the laws of the State of California that I am a chief officer of the association; that I am authorized to act on behalf of the association with respect to completing and submitting this application; that the information contained in this application is true and correct.

Signature of officer

Date

Signature of Additional Officer (optional)


 Date


Typed name and Title
 John Nagle / President and Director
Typed name and Title
Bruce Baumgart / Vice President and Director
Sec-State Form LP/UNA-28 (Rev 4/98)