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Articles Of Incorporation For Nonprofit Corporation Form. This is a Indiana form and can be use in Corporations Secretary Of State.
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Tags: Articles Of Incorporation For Nonprofit Corporation, 4162, Indiana Secretary Of State, Corporations
ARTICLES OF INCORPORATION FOR A NONPROFIT CORPORATION
State Form 4162 (R12 / 4-12) Corporate Form No. 364-1 (October 1984)
Approved by State Board of Accounts, 1995
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.
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.
CONNIE LAWSON
SECRETARY OF STATE
CORPORATIONS DIVISION
302 W. Washington St., Rm. E018
Indianapolis, IN 46204
Telephone: (317) 232-6576
Indiana Code 23-17-3-2
FILING FEE: $30.00
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 Indiana Nonprofit Corporation Act of 1991 (hereinafter referred to as the "Act"), execute 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 (number and street or building )
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 (number and street or building)
ZIP code
City
Indiana
ARTICLE V - MEMBERSHIP
Indicate if Corporation will have members:
Yes
No
(Continued on the reverse side)
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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
Printed name
Signature
Printed name
Signature
Printed name
This instrument was prepared by: (name)
Address (number and street or building)
City
State
ZIP code
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