INSTRUCTIONS: 1. Use 8275224 x 11224 white paper for attachments. 2. Please TYPE or PRINT in INK. 3. Please visit our office at www.sos.IN.gov 4. Make check or money order payable to the Secretary of State. 5. Submit original completed paperwork and payment to: 302 West Washington Street, Room E-018, Indianapolis, IN 46204. REQUIREMENTS: 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. (SOS use only) (If different from above 226 SOS use only) American LegalNet, Inc. www.FormsWorkFlow.com (The name must include the word Corporation, Incorporated, Limited, Company or an abbreviation thereof.) (number and street) Specific language is required by the IRS in this article in order to be approved for 501(c) status. Contact the IRS for assistance. (CHECK ONLY ONE.) (all others). To determine if your Registered Agent is a Commercial Registered Agent (CRA), go to INBIZ.in.gov. Provide either commercial registered agent or noncommercial registered agent information below. (Do not provide address.) (number and street) (A P.O. Box is not acceptable unless accompanied by a Rural Route number.) (OPTIONAL) (INCORPORATORS MAY NEVER BE AMENDED.) American LegalNet, Inc. www.FormsWorkFlow.com Please note: This section must be completed. Specific language is required by the IRS in this article in order to be approved for 501(c) status. Contact the IRS for assistance. (Title) American LegalNet, Inc. www.FormsWorkFlow.com