The following is an illustration of Department Form 1010:

Form 1010 (7-1-97)

California Department of Business Oversight

APPLICATION FOR LICENSE AS BUSINESS AND INDUSTRIAL DEVELOPMENT CORPORATION (Facing Page)

To: Commissioner of Business Oversight

Date:

(Name of Applicant)

(Street address)

____________________(City), ____________________(County), California __________(Zip Code), hereby applies for a license to transact business as a business and industrial development corporation.

The Applicant proposes to commence transacting business as a business and industrial development corporation on __________(Date).

The documents attached hereto are hereby referred to and by this reference incorporated herein.

______________________________

(Name of Applicant)

By ______________________________

(Signature)

______________________________

(Name and Title)

______________________________

(Telephone)

(This is a facing page only. For instructions on completing and signing this application, refer to the Regulations of the Commissioner of Business Oversight. The signature of the Applicant must be acknowledged.)

Note: Authority cited: Section 31101, Financial Code. Reference: Sections 321 and 31107, Financial Code.

History

1. Change without regulatory effect amending section and adding new Note filed 8-19-97 pursuant to section 100, title 1, California Code of Regulations (Register 97, No. 34).

2. Change without regulatory effect amending section and Note filed 8-21-2019 pursuant to section 100, title 1, California Code of Regulations (Register 2019, No. 34).