Free 04162.PDF - Indiana

ARTICLES OF INCORPORATION FOR A NONPROFIT CORPORATION
S tate Fo rm 416 2 ( R1 0 / 1 -03) Corpora te Form No. 364-1 (October 198 4) A pproved by S tate Boar d of Accounts 19 95

TODD ROKITA SECRETARY OF STATE CO RP ORATIONS DIVISION 302 W. Washington St., Rm. E018 Ind ianapo lis, IN 46204 Tel ephone : (317 ) 23 2-657 6

NOTES:

1. Nonprofit corporations must qualify with the Internal Revenue Service and the Indiana Department of Revenue. It is strongly suggested you do not complete or file this form before contacting both agencies. 2. Article VII must be completed appropriately. Please see (1) above.

Indiana Code 23-17-3-2 FILING FEE: $30.00

INSTRUCTIONS:

1. Use 8 1/2" x 11" white paper for attachments. 2. Present original and one (1) copy to the address in the upper right corner of this form. 3. Please type or print. 4. Please visit our office on the web at www.sos.in.gov.

ARTICLES OF INCORPORATION
The undersigned incorporator or incorporators, desiring to form a corporation (hereinafter referred to as the "Corporation") pursuant to the provisions of the Ind iana Nonprofi t Corpora tion Act of 1991 (h ereinafter referred to as the "Act"), execu te the following Articles of Incorporation.
ARTICLE I - Name and Principal Office Name of the Corporation: (the name must include the word "Corporation", "Incorporated", "Limited", "Company" or one of the abbreviations thereof):

Principal Office: The address of the principal office of the Corporation is: Post office address

City

ZIP code

Indiana

ARTICLE II - Purpose (optional) The purposes for which the Corporation is formed are:

ARTICLE III - Type of Corporation (check only one) The Corporation is a:

public benefit corporation, which is organized for a public or charitable purpose; religious corporation, which is organized primarily or exclusively for religious purposes; or mutual benefit corporation (all others).

ARTICLE IV - Registered Agent and Registered Office Registered Agent: The name and street address of the Corporation's Registered Agent and Registered Office for service of process are: Name of Registered Agent

Address of Registered Office (street or building)

City

ZIP code

Indiana

ARTICLE V - Membership Indicate if Corporation will have members: Yes No (Continued on the reverse side)

ARTICLE VI - Incorporator(s) Name(s) and address(es) of the incorporator(s) is/are as follows: Name Number and Street or Building City State ZIP code

ARTICLE VII - Distribution of Assets on Dissolution or Final Liquidation Refer to Indiana Code 23-17-22-5 for permitted activities following Dissolution.

* Please note this section must be completed.

THIS DOCUMENT MUST BE SIGNED BY ALL INCORPORATORS.

In witness whereof, the undersigned incorporator(s) of said Corporation execute(s) this document, and verify(ies) subject to penalties of perjury that the facts contained herein and true this _____________________ day of ______________________________, 20______.
Signature Signature Signature Printed name Printed name Printed name

This instrument was prepared by: (name) Address City State ZIP code