This form is available electronically. Form Approved - OMB No. 0560-0120
WA-90 (10-31-11) |
U.S. DEPARTMENT OF AGRICULTURE Farm Service Agency United States Warehouse Act |
1. FOR FSA USE ONLY |
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A. License Number |
B. Initials |
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CORPORATE SIGNATURE RESOLUTION |
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The purpose of this form is to declare those who may execute documents on behalf of a corporation. This declaration may not conflict with the Articles of Incorporation or the Bylaws.
Be it resolved that: (follow printed instructions exactly)
I or We (a) |
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(List only individual proper names here. Do not check boxes unless there are officer positions in (e).) |
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(b) and (means BOTH sign) |
(c) or (means EITHER sign) |
(d) and or (means ANY sign) |
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The (e) |
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(List here only officers of the corporation authorized to sign. Do not check boxes unless there are proper names listed in (a).) |
is (are) hereby empowered to execute all bonds, supplemental bond agreements and other papers or documents required under the United States Warehouse Act on behalf of the corporation, such power is to remain in effect until the Administrator of the United States Warehouse Act is given notice in writing to the contrary by an official of the corporation.
Be it further resolved that:
the acts of any officer of the corporation in executing all previous applications, bonds and supplemental bond agreements under the Act on behalf of the corporation are hereby ratified and approved.
Be it resolved that:
the purpose of this corporation shall include but not be limited to conducting a public warehouse for storage in accordance with the applicable regulations and licensing agreements and the Act for agricultural products for interstate and/or foreign commerce.
Be it resolved that:
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the principal place of business of the corporation is and shall be located at (f) |
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(County) |
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(g) |
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(City and State) |
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2. CERTIFICATE OF BOARD RESOLUTION |
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I certify that on (a) |
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, at a (b) regular or (c) special meeting of the board of directors of |
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(Date) (MM-DD-YYYY) |
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(d) |
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(Name of Corporation) |
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held at (or by), (e) |
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(Location of Meeting or Nature of Meeting i.e. teleconference) |
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at which a quorum was present, that on motion made, seconded and carried, the above resolution was adopted; that this resolution has been spread on the minutes of the board of directors; and that it has been made part of the permanent record. |
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Executed this (f) |
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day of (g) |
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(Day) |
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(Month and Year) |
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2H. Signature of Secretary |
2I. Date (MM-DD-YYYY) |
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NOTE: |
The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a - as amended). The authority for requesting the information identified on this form is 7 CFR Part 735, 7 CFR Part 1423, 7 CFR Part 1427, the United States Warehouse Act (Pub. L. 106-472), and the Commodity Credit Corporation Charter Act (15 U.S.C. 714 et seq.). The information will be used by the board of directors of a corporation to designate individual(s) and/or officer(s) empowered to execute documents on behalf of the corporation. The information collected on this form may be disclosed to other Federal, State, Local government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in applicable Routine Uses identified in the System of Records Notice for USDA/FSA-2, Farm Records File (Automated) and USDA/FSA-3, Consultants File. Providing the requested information is voluntary. However, failure to furnish the requested information will result in a determination of ineligibility to obtain new licensing or retain existing licensing under the United States Warehouse Act.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays an OMB control number. The valid OMB control number of this information collection is 0560-0120. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
The provisions of appropriate criminal and civil fraud, privacy, and other statutes may be applicable to the information provided. RETURN THIS COMPLETED FORM TO THE KANSAS CITY COMMODITY OFFICE, WAREHOUSE LICENSE AND EXAMINATION DIVISION, STOP 9148, P.O. BOX 419205, KANSAS CITY, MO 64141-6205. |
The U.S. Department of Agriculture (USDA) prohibits discrimination in all of its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, political beliefs, genetic information, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Assistant Secretary for Civil Rights, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, DC 20250-9410, or call toll-free at (866) 632-9992 (English) or (800) 877-8339 (TDD) or (866) 377-8642 (English Federal-relay) or (800) 845-6136 (Spanish Federal-relay). USDA is an equal opportunity provider and employer.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | anita.crowell |
File Modified | 0000-00-00 |
File Created | 2021-02-01 |