(1) The name of the corporation or foreign corporation and the state or country under the laws of which it is incorporated;

(2) Where the corporation is required by law to have a registered office and registered agent in the State, the street address of the domestic corporation's or foreign corporation's registered office in this State, the name of its registered agent in this State at such address, and the mailing address of its principal office in the state or country under the laws of which it is incorporated; provided that if the mailing address of the principal office differs from the street address, or where no specific street address is available, the rural route post office number or post office box designated or made available by the United States Postal Service;

(3) A brief statement of the character of the affairs which the corporation is actually conducting, or, in the case of a foreign corporation, which the corporation is actually conducting in this State; and

(4) The names and respective addresses of the directors and officers of the foreign corporation and, in the case of a domestic corporation, the names and residence addresses of the directors and officers of a domestic corporation.