Fillable Form 2601General Information: (Automobile Club Application for Certificate (Texas Secretary of State)

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Form 2601General Information: (Automobile Club Application for Certificate (Texas Secretary of State)

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Form 2601—General Information
(Automobile Club Application for Certificate of Authority)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code
provisions. This form and the information provided are not substitutes for the advice and services of an
attorney.
Commentary
Automobile Clubs are governed by Chapter 722 of the Texas Transportation Code and the secretary of
state’s administrative rules found in 1 Texas Administrative Code Chapter 75.
Complete this form to obtain a new or renewed automobile club certificate of authority. Automobile
st
club certificates of authority expire annually on August 31 and must be renewed.
Instructions for Form
• Preliminary Information: Select the appropriate box indicating whether this is a new
application or an application for renewal. If it is a renewal, you should provide the registration
number assigned by the secretary of state to facilitate processing of the document.
• Applicant Information: Include the name, principal business address, and office address of the
automobile club applying for the certificate. You should also include the requested contact
information. An email address is requested to facilitate communication with the secretary of
state. Any email address provided is confidential pursuant to § 552.137 of the Texas
Government Code. The secretary of state will redact the email address prior to providing a copy
of this form in response to a public information request.
• Owner/Officer Information: If the automobile club is not a corporation, the application must
list all of club’s owners and officers. If the automobile club has more than three owners and
officers, use an additional sheet.
A document on file with the secretary of state is a public record subject to public access and
disclosure. When providing address information, use a business or post office box address
rather than a residence address if privacy concerns are an issue.
• Operating/Management Agreement: If the automobile club is not a corporation, the
application must include a list of all parties to any operating or management agreement
governing the club.
• Attachments: The following items must be included with the application:
1. Annual fee of $150.
2. If the applicant is a corporation, a certificate status from the secretary of state showing
the corporation is “in existence.” A certificate of status may be ordered in one of the
following ways:
a. Via SOSDirect, our web-based system;
b.
By telephone at (512) 475-0775
c.
By fax at (512) 475-2815;
d. By email to corpcert@sos.texas.gov; or
e. By mail to the Secretary of State Corporations Section Records Department, P.O.
Box 13697, Austin, TX 78711-3697.
3. If the applicant is not a corporation, a copy of any operating agreement or management
agreement affecting the club and a list of each party to the agreement.
Form 2601
1
Form 2601
1
4. Proof of a $25,000 security deposit. The security may be in the form of (1) a certified
check or money order made payable to the secretary of state; (2) a bond payable to the
state, executed by a corporate surety licensed to do business in Texas, and meeting the
conditions set forth in Section 722.005(a)(3), Texas Transportation Code; or (3) a
certificate of deposit with assignment to the secretary of state.
5. A certified copy of each service contract plan that the automobile club is offering to its
members.
6. If the automobile club provides participation in a group accidental injury or death policy,
a copy of the certificate of participation.
Note: Automobile clubs are also required to file changes to service contracts with the secretary
of state.
• Execution: A person who is authorized to sign on behalf of the person or entity applying for the
automobile club certificate of authority must sign and date the application before a notary public
or other official who has authority to administer an oath.
Payment and Delivery Instructions: The annual fee for the Automobile Club Certificate of
Authority is $150. Fees may be paid by personal checks, money orders, LegalEase debit cards or
American Express, Discover, MasterCard, and Visa credit cards. Checks or money orders must
be payable through a U.S. bank or financial institution and made payable to the secretary of
state. Fees paid by credit card are subject to a statutorily authorized convenience fee of 2.7
percent of the total fees.
The completed form along with the fee, certificate of status or operating/management agreement,
if required, proof of security, service contract plan, and certificate of participation, if required,
may be mailed to Registrations Unit, P.O. Box 13550, Austin, Texas 78711-3550 or delivered to
the James Earl Rudder Office Building, 1019 Brazos, Austin, Texas 78701. The secretary of state
will issue a certificate of authority upon filing of a completed application.
Revised 02/2012
Form 2601
2
This space reserved for office use
AUTOMOBILE CLUB
CERTIFICATE OF AUTHORITY
APPLICATION / RENEWAL
Form #2601 Rev. 02/2012
Submit to:
SECRETARY OF STATE
Registrations Unit
P O Box 13550
Austin, TX 78711-3550
512-475-0775
512-475-2815 - Fax
Filing Fee: $150
Application for New Registration
Application for Renewal of Registration
Registration Number:
Applicant Information
Automobile Club Name:
Contact Name: Email Address:
Phone: Fax:
Principal Business Address:
Street City State Zip
Office Address (if different from above):
Street City State Zip
Is the automobile club a corporation? Yes No
Does the club provide participation in a group accidental injury or death policy? Yes No
Owner/Officer Information
Complete this section only if the automobile club is not a corporation. List each person who holds an ownership interest in
the automobile club and each person who is an officer of the club. For “Position,” write “owner” if the person holds an
ownership interest and write the office held if the person is an officer.
Name: Position:
Mailing Address:
Street City State Zip
Name: Position:
Mailing Address:
Street City State Zip
Name: Position:
Mailing Address:
Street City State Zip
LIST ANY OTHER OWNERS AND OFFICERS ON A SEPARATE SHEET
Form 2601
3
Form 2601
3
Form 2601
4
Operating/Management Agreement
Complete this section only if the automobile club is not a corporation. If the automobile club is governed by an operating
agreement or management agreement, list each party to the operating/management agreement and submit a copy of the
agreement.
Name: Position:
Mailing Address:
Street
City
State
Zip
Name: Position:
Mailing Address:
Street
City
State
Zip
Name: Position:
Mailing Address:
Street
City
State
Zip
LIST ANY OTHER PARTIES TO THE AGREEMENT ON A SEPARATE SHEET
Attachments
The following items are included with this application:
1. Annual fee of $150.
2. If the applicant is a corporation, a certificate status from the secretary of state showing the
corporation is “in existence.”
3. If the applicant is not a corporation, a copy of any operating agreement or management
agreement affecting the club and a list of each party to the agreement.
4. Proof of security.
5. A certified copy of each service contract plan; and
6. If the automobile club provides participation in a group accidental injury or death policy, a copy
of the certificate of participation.
Date:
Execution
Signature of authorized person for automobile club
Printed or typed name authorized person for automobile club
State of
)
County of )
Sworn to and subscribed before me this day of , 20 .
(seal)
Notary Public Signature
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Form 2601General Information: (Automobile Club Application for Certificate (Texas Secretary of State)

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Completed 6 November 2020

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