North Carolina Administrative Code
Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS
Chapter 63 - SOCIAL WORK CERTIFICATION
Section .0900 - PROFESSIONAL CORPORATION OR LIMITED LIABILITY COMPANY
Section 63 .0901 - APPLICATIONS FOR A CERTIFICATE OF REGISTRATION

Universal Citation: 21 NC Admin Code 63 .0901

Current through Register Vol. 38, No. 18, March 15, 2024

(a) Licensed clinical social workers who wish to form a Professional Corporation or Professional Limited Liability Company must apply to the Board for a Certificate of Registration in accordance with this Rule, pursuant to Chapter 55B of the North Carolina General Statutes.

(b) All applications for a Certificate of Registration for Professional Corporation shall include the fee described in Paragraph (d) of this Rule and provide the following:

(1) the name and address of the proposed business;

(2) the purpose of the proposed business;

(3) the name, address, profession, and license number of each proposed stock owner;

(4) the percentage of shares to be owned by each proposed stock owner;

(5) the name, address, profession, and license number of each proposed director;

(6) the name, address, profession, and license number of each proposed corporate officer;

(7) the name, address, profession, and license number of each proposed professional employee;

(8) the contact information of the person completing the application; and

(9) notarized signatures from the business's incorporators and an attestation that:
(A) they have read the Board's governing statutes and rules;

(B) there are no disciplinary actions pending against any of the business's incorporators, officers, directors, stockholders, or employees;

(C) the business is being incorporated under the provisions of Chapter 55B of the North Carolina General Statutes; and

(D) the business will be conducted in compliance with the Professional Corporation Act and the laws governing licensees of the Board.

(c) All applications for a Certificate of Registration for Professional Limited Liability Company shall include the fee described in Paragraph (d) of this Rule and provide the following:

(1) the name and address of the proposed business;

(2) the purpose of the proposed business;

(3) the name, address, profession, and license number of each proposed shareholder;

(4) the percentage of shares to be owned by each proposed shareholder;

(5) the name, address, profession, and license number of each proposed director;

(6) the name, address, profession, and license number of each proposed member;

(7) the name, address, profession, and license number of each proposed professional employee;

(8) the contact information of the person completing the application; and

(9) notarized signatures from the business's organizers and an attestation that:
(A) they have read the Board's governing statutes and rules;

(B) there are no disciplinary actions pending against any of the business's organizers, members, managers, or employees;

(C) the business is being organized under the provisions of Chapter 57D of the North Carolina General Statutes; and

(D) the business will be conducted in compliance with Chapter 57D of the North Carolina General Statutes and the laws governing licensees of the Board.

(d) The following non-refundable fees apply:

(1) fifty dollars ($50.00) - application fee for a certificate of registration for a professional corporation or limited liability company; and

(2) twenty-five dollars ($25.00) - annual renewal fee for the certificate of registration for a professional corporation or limited liability company.

Authority G.S. 55B-10; 55B-11; 55B-12; 57D-2-02; 90B-6; 90B-11;
Eff. January 1, 2009;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 19, 2015;
Amended Eff. October 1, 2021.

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