Instructions For Completing Form SI-100

Where to file: For faster processing, the required statement for most corporations can be filed online at https://businessfilings.sos.ca.gov/.
Alternatively, statement forms are available on the Secretary of State’s website at www.sos.ca.gov/business/be/statements.htm and can be
viewed, filled in and printed from your computer. Completed forms along with the applicable fees can be mailed to Secretary of State,
Statement of Information Unit, P.O. Box 944230, Sacramento, CA 94244-2300 or delivered in person (drop off) to the Sacramento office, 1500
11th Street, Sacramento, CA 95814. If you are not completing this form online, please type or legibly print in black or blue ink. This form is
filed only in the Sacramento office.
Every domestic nonprofit, credit union and consumer cooperative corporation must file a Statement of Information with the California
Secretary of State, within 90 days after filing of the initial Articles of Incorporation, and biennially* thereafter during the applicable filing period.
The applicable filing period for a corporation is the calendar month during which the initial Articles of Incorporation were filed and the
immediately preceding five calendar months. A corporation is required to file this statement even though it may not be actively engaged in
business at the time this statement is due. Changes to information contained in a previously filed statement can be made by filing a new form,
completed in its entirety. * Credit unions and consumer cooperative corporations are required to file annually instead of biennially.
Legal Authority: Statutory filing provisions are found in California Corporations Code sections 6210, 8210, 9660, or 12570 and California
Financial Code section 14101.6, unless otherwise indicated. All subsequent statutory references are to the California Corporations Code,
unless otherwise stated. Failure to file this Statement of Information by the due date may result in the assessment of a $50.00 penalty
(Sections 6810, 8810, 9690, or 12670; California Revenue and Taxation Code section 19141).
Every domestic nonprofit corporation formed to manage a common interest development under the Davis-Stirling Common Interest
Development Act (for example, a homeowners’ association) must also file a Statement By Common Interest Development Association (Form
SI-CID) together with the biennial Statement of Information (California Civil Code section 1350, et seq.). Both forms are available on the
Secretary of State’s website at www.sos.ca.gov/business/be/statements.htm.
Fees: The fee for filing the Statement of Information is $20.00. Checks should be made payable to the Secretary of State. If this statement is
being filed to amend any information on a previously filed statement and is being filed outside the applicable filing period, as defined above, no
fee is required.
Copies: The Secretary of State will endorse file one copy of the statement if an exact copy is submitted along with the statement to be filed.
Copies submitted with the statement to be filed can be certified upon request and payment of $8.00 per copy.
Complete the Statement of Information (Form SI-100) as follows:
Item 1. Enter the name of the corporation exactly as it is of record with the California Secretary of State.
Item 2. Enter the complete street address, city and zip code of the corporation’s principal office in California, if any. Please do not enter a
P.O. Box or abbreviate the name of the city. Note: a credit union must enter the street address of the corporation’s principal office, if
any, whether the office is located in or outside of California.
Item 3. Enter the mailing address of the corporation, if different from the street address of the principal office in California or if the corporation
has no principal office in California.
Items Enter the name and complete business or residential address of the corporation's chief executive officer, secretary and chief financial
4-6. officer. Please do not abbreviate the name of the city. The corporation must list these three officers. Any number of offices may be
held by the same person unless the articles or bylaws provide otherwise, except, in the case of a nonprofit public benefit or religious
corporation, neither the secretary nor the chief financial officer or treasurer may serve concurrently as the president or chair of the
board (Sections 5213 or 9213). Please note, unless the articles or bylaws provide otherwise, the president, or if there is no
president, the chair of the board, is the chief executive officer of the corporation. Additionally, unless otherwise specified in the
articles or the bylaws, if there is no chief financial officer, the treasurer is the chief financial officer of the corporation. A comparable
title for the specific officer may be added; however, the preprinted titles on this form must not be altered, except in the case of a
consumer cooperative corporation, which may include the name and address of its general manager in lieu of the name and address
of its chief executive officer (Section 12570(a)).
Item 7. Enter the name of the agent for service of process in California. An agent is an individual (director, officer or any other person,
whether or not affiliated with the corporation) who resides in California or another corporation designated to accept service of
process if the corporation is sued. The agent must agree to accept service of process on behalf of the corporation prior to
designation.
If an individual is designated as agent, complete Items 7 and 8. If another corporation is designated as agent, complete Item 7 and
proceed to Item 9 or Item 13, as applicable (do not complete Item 8).
Note: Before another corporation may be designated as agent, that corporation must have previously filed with the California
Secretary of State, a certificate pursuant to Section 1505. A corporation cannot act as its own agent and no domestic or foreign
corporation may file pursuant to Section 1505 unless the corporation is currently authorized to engage in business in California and is
in good standing on the records of the California Secretary of State. In addition, a credit union must name an individual to act as
agent for service of process. There is no statutory authority for a credit union to designate a corporation as agent.
Item 8. If an individual is designated as agent for service of process, enter a business or residential street address in California (a P.O. Box
address is not acceptable). Please do not enter “in care of” (c/o) or abbreviate the name of the city. If another corporation is
designated as agent, leave Item 8 blank and proceed to Item 9 or Item 13, as applicable.
Common Interest Development Corporations: Corporations formed to manage a common interest development under the Davis-Stirling
Common Interest Development Act (for example, a homeowners’ association) must complete Items 9-12. In addition, the corporation must file
a Statement by Common Interest Development Association (Form SI-CID).
Item 9. Check the box only if the corporation is formed to manage a common interest. If the corporation is not formed to manage a common
interest development, do not check the box and proceed to Item 13.
Item 10. Enter the complete address, city, state and zip code of the business or corporate office of the association, if any. Please do not
abbreviate the name of the city.
Item 11. If the business or corporate office is not on the site of the common interest development, enter the name of the front street and
nearest cross street for the physical location of the common interest development, including the nine-digit zip code.
Item 12. Enter the name and complete address of the association’s managing agent, if any. Please do not abbreviate the name of the city.
Item 13. Type or print the name and title of the person completing this form and enter the date this form was completed.
 N
State of California
Secretary of State

Statement of Information
(Domestic Nonprofit, Credit Union and Consumer Cooperative Corporations)

Filing Fee: $20.00. If amendment, see instructions.

1. CORPORATE NAME

This Space for Filing Use Only

Due Date: [For forms preprinted by the Secretary of State.]

Complete Principal Office Address (Do not abbreviate the name of the city. Item 2 cannot be a P.O. Box.)
2. STREET ADDRESS OF PRINCIPAL OFFICE IN CALIFORNIA, IF ANY CITY STATE ZIP CODE

CA
3. MAILING ADDRESS OF THE CORPORATION, IF REQUIRED CITY STATE ZIP CODE

Names and Complete Addresses of the Following Officers (The corporation must list these three officers. A comparable title for the specific
officer may be added; however, the preprinted titles on this form must not be altered.)
4. CHIEF EXECUTIVE OFFICER/ ADDRESS CITY STATE ZIP CODE

5. SECRETARY ADDRESS CITY STATE ZIP CODE

6. CHIEF FINANCIAL OFFICER/ ADDRESS CITY STATE ZIP CODE

Agent for Service of Process (If the agent is an individual, the agent must reside in California and Item 8 must be completed with a California street
address (a P.O. Box address is not acceptable). If the agent is another corporation, the agent must have on file with the California Secretary of State a
certificate pursuant to California Corporations Code section 1505 and Item 8 must be left blank.)
7. NAME OF AGENT FOR SERVICE OF PROCESS [Note: The person designated as the corporation's agent MUST have agreed to act in that capacity prior to the designation.]

8. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INDIVIDUAL CITY STATE ZIP CODE

CA
Davis-Stirling Common Interest Development Act (California Civil Code section 1350, et seq.)
9. Check here if the corporation is an association formed to manage a common interest development under the Davis-Stirling Common Interest
Development Act and proceed to Items 10, 11 and 12.
NOTE: Corporations formed to manage a common interest development must also file a Statement by Common Interest Development Association
(Form SI-CID) as required by California Civil Code section 1363.6. Please see instructions on the reverse side of this form.
10. ADDRESS OF BUSINESS OR CORPORATE OFFICE OF THE ASSOCIATION, IF ANY CITY STATE ZIP CODE

11. FRONT STREET AND NEAREST CROSS STREET FOR THE PHYSICAL LOCATION OF THE COMMON INTEREST DEVELOPMENT 9-DIGIT ZIP CODE
(Complete if the business or corporate office is not on the site of the common interest development.)

12. NAME AND ADDRESS OF ASSOCIATION’S MANAGING AGENT, IF ANY CITY STATE ZIP CODE

13. THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT.

DATE TYPE/PRINT NAME OF PERSON COMPLETING FORM TITLE SIGNATURE

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