FORM BCA 2.10 (MCA) (rev. Dec. 2003) ARTICLES OF INCORPORATION Medical Corporation Secretary of State Department of Business Services 501 S. Second St., Rm. 350 Springfield, IL 62756 217-782-9522 www.cyberdriveillinois.com Remit payment in the form of a cashier's check, certified check, money order or an Illinois attorney's or CPA's check payable to Secretary of State. See Note 1 on reverse to determine fees. Filing Fee: $150 Franchise Tax $_____________ Total $____________ File #_________________________ Approved: ______ -------- Submit in duplicate -------- Type or Print clearly in black ink -------- Do not write above this line -------- 1. Corporate Name: ________________________________________________________________________________ ______________________________________________________________________________________________ Must end with one of the following words or abbreviations: "Chartered," "Limited," "Ltd," "Service Corporation" or "S.C." 2. Initial Registered Agent: __________________________________________________________________________ First Name Middle Name Last Name Initial Registered Office: __________________________________________________________________________ Number Street Suite # (P.O. Box alone is unacceptable) Initial Registered Office: __________________________________________________________________________ City ZIP Code County 3. Purpose(s) for which the corporation is organized: Medical Corporation: To own, operate and maintain an establishment for the study, diagnosis and treatment of human ailments and injuries, whether physical or mental, and to promote medical, surgical and scientific research and knowledge; provided that medical or surgical treatment, advice or consultation will be given by employees of the corporation only if they are licensed pursuant to the Medical Practice Act. 4. Paragraph 1: Authorized Shares, Issued Shares and Consideration Received: Class Number of Shares Authorized Number of Shares Proposed to be Issued Consideration to be Received Therefore ______________________________________________________________________________________________ $ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ TOTAL = $______________________ Paragraph 2: The preferences, qualification, limitations, restrictions and special or relative rights in respect of the shares of each class are: For more space, attach additional sheets of this size. Printed by authority of the State of Illinois. October 2015 - 1 - C 322.4 American LegalNet, Inc. www.FormsWorkFlow.com 5. OPTIONAL: a. Number of directors constituting the initial board of directors of the Corporation: ____________________________ b. Names and addresses of persons who will serve as directors until the first annual meeting of shareholders or until their successors are elected and qualify: Name Address City, State, ZIP ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 6. OPTIONAL: a. Estimated value of all property to be owned by the Corporation for the following year wherever located: b. Estimated value of the property to be located within the State of Illinois during the following year: c. Estimated gross amount of business that will be transacted by the corporation during the following year: d. Estimated gross amount of business that will be transacted from places of business in the State of Illinois during the following year: $___________________________ $___________________________ $___________________________ $___________________________ 7. OPTIONAL: OTHER PROVISIONS Attach a separate sheet of this size for any other provision to be included in the Articles of Incorporation (e.g., authorizing preemptive rights, denying cumulative voting, regulating internal affairs, voting majority requirements, fixing a duration other than perpetual, etc.). 8. NAME(S) & ADDRESS(ES) OF INCORPORATOR(S) The undersigned incorporator(s) hereby declare(s), under penalties of perjury, that the statements made in the foregoing Articles of Incorporation are true and correct. Dated ________________________________ , ______ Month & Day Year Signature and Name 1. ___________________________________________ Signature Address 1. ___________________________________________ Street 1. ___________________________________________ Name (type or print) 1. ___________________________________________ City/Town State ZIP Code 2. ___________________________________________ Signature 2. ___________________________________________ Street 1. ___________________________________________ Name (type or print) 1. ___________________________________________ City/Town State ZIP Code 3. ___________________________________________ Signature 3. ___________________________________________ Street 1. ___________________________________________ Name (type or print) 1. ___________________________________________ City/Town State ZIP Code Signatures must be in BLACK INK on original document. Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copies. NOTE: The incorporator must be either one or more persons licensed pursuant to the Medical Practice Act or an Illinois attorney. Note 1: Fee Schedule The initial franchise tax is assessed at the rate of 15/100 of 1 percent ($1.50 per $1,000) on the paid-in capital represented in this State. (Minimum initial franchise tax is $25.) The filing fee is $150 The minimum total due (franchise tax + filing fee) is $175. Note 2: Return to: _______________________________ Firm name _______________________________ Attention _______________________________ Mailing Address _______________________________ City, State, ZIP Code American LegalNet, Inc. www.FormsWorkFlow.com