21 NCAC 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.

History Note:        Authority G.S. 55B‑10; 57D-2-01; 90‑270.143;

Eff. September 1, 1982;

Amended Eff. July 1, 1996; March 1, 1989; January 1, 1986;

Readopted Eff. April 1, 2020.