21 N.C. Admin. Code 54 .2202 - CERTIFICATE OF REGISTRATION
The information required for an applicant to obtain a certificate of registration for a professional corporation or professional limited liability company organized to render professional psychological services shall consist of:
(1) typed,
or printed, signed or digitally signed application form. The form shall include
the following information:
(A) name of
corporation;
(B) purpose for which
corporation is organized;
(C)
mailing address;
(D) email
address;
(E) telephone
number;
(F) name, address, and
license number (if applicable) of incorporator(s);
(G) name and license number of
stockholder(s);
(H) name and
occupation of members of board of directors;
(I) name and occupation of
officers;
(J) name and license
number of psychologists to be employed by the corporation; and
(K) name and duties of persons other than
psychologists employed, or to be employed, by the corporation.
(2) a completed Articles of
Incorporation for a professional corporation or the Articles of Organization
for a professional limited liability company; and
(3) following submission of the Articles of
Incorporation or Articles of Organization to the Secretary of State by the
applicant, the applicant must submit to the Board a final certified copy of the
Articles of Incorporation or Articles of Organization issued by the Secretary
of State. The certificate of registration shall remain effective until January
1 following the date of such registration.
Notes
Eff. September 1, 1982;
Amended Eff. July 1, 1996; March 1, 1989; January 1, 1986.
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