Item 1A and 1B are completed by FSA upon return of the executed form.
Fld Name / |
Instruction |
2 Check One |
Check if a Corporate Signature Resolution or a Limited Liability Company Signature Resolution. |
(a) Corporation |
Check this box if a Corporation. |
(b) Named Individual Signature Authority |
IF an individual or individuals are named authorized whether in combination with officers or not, THEN enter the complete name (s) of that person (or those persons) designated by name by the warehouse operator as signer(s) of documents binding the corporation [for example Joe Doe]. If no individuals are to be named, enter “ILB” signifying intentionally left blank and proceed to Item (f) to list the officers of the corporation who may bind the corporation. (Do Not Make Entries in Items (c), (d), (e) unless a combination of persons and offices are designated.) |
(c), (d), (e) Combined Signature Authority |
IF a combination of named individuals and corporate officers are granted signature authority, enter an “X” or checkmark in the appropriate box describing the nature of that authority. This designation must agree with the Articles of Incorporation and the Bylaws:
Item (c) indicates that the named person in (b) “and” an officer or manager is approved to sign [means that BOTH the named persons and the officer or manager sign].
Item (d) indicates that the named person in (b) “or” an officer or manager is approved to sign [means that EITHER the named persons or the officer or manager sign].
Item (e) indicates that the named person in (b) “and/or” an officer or manager is approved to sign [means that ANY of the named persons or the officers or managers sign]. |
(f) Officers Signature Authority |
IF offices are designated by the warehouse operator as signer(s) of documents binding the corporation, whether in combination with named individuals or not, THEN enter the offices of the officers who may sign [for example, “Treasurer” or “Manager”]. |
(g) Limited Liability Company |
Check this box if a Limited Liability Company. |
(h) Names or Titles |
If an individual or individuals are named, enter the complete names(s) and titles of that person(s) designated by the warehouse operator as signer(s) of documents binding the limited liability company.
(For example Joe Doe) |
(i) and (j) Principal Place of Business City, County, State |
Enter the name of the county and city and state that the warehouse operator is declaring as their principal place of business. |
3 (a) – (i) Dates of Meeting of Board |
Item 3(a). Enter the date of the meeting in which this action occurred.
Item 3(b). Enter a "X" or checkmark in the appropriate checkbox indicating the nature of the meeting was a regular meeting [used to define the legal nature of the meeting].
Item 3(c). Enter a "X" or checkmark in the appropriate checkbox indicating the nature of the meeting was a special meeting of the board of directors [used to define the legal nature of the meeting].
Item 3(d). Enter the complete name of the corporation.
Item 3(e). Enter the place of the meeting or the nature of the meeting of the board of directors [such as a teleconference].
Item 3(f). Enter the date [day] of the year executed.
Item 3(g). Enter date [month, year] executed.
Item 3(h). Enter the signature of the certifying officer and date signed. This signature may be the Secretary or any other officer.
Item 2(i). Enter date of signature. |
4 (a) – (d) Certification |
Item 4(a). Enter the name.
Item 4(b). Enter the title.
Item 4(c). Enter legal name of company.
Item 4(d). Enter the date.
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Ball, MaryAnn - FSA, Washington, DC |
File Modified | 0000-00-00 |
File Created | 2021-01-28 |