COMMONWEALTH OF KENTUCKY ALISON LUNDERGAN GRIMES, SECRETARY OF STATE __________________________________________________________________________________________________________________________ Division of Business Filings Business Filings PO Box 718 Frankfort, KY 40602 (502) 564-3490 www.sos.ky.gov Articles of Organization Professional Limited Liability Company PLC Pursuant to KRS 14A and KRS 275, the undersigned applies to qualify and for that purpose submits the following statements: Article I: The name of the professional limited liability company is ___________________________________________________________________________________________________. Article II: The street address of the professional limited liability company's initial registered office in Kentucky is ___________________________________________________ ___________________ ____________ ______________ Street Address Only (No Post Office Box Numbers) City State Zip Code and the name of the initial registered agent at that office is ____________________________________________________. Article III: The mailing address of the professional limited liability company's initial principal office is ___________________________________________________ ___________________ ____________ ______________. Street Address or Post Office Box Number City State Zip Code Article IV: The professional limited liability company is to be managed by (must check one): _____ A. a manager(s). _____ B. its member(s). Article V: The profession to be practiced through the professional limited liability company: ___________________________________________________________________________________________________. Article VI: This application will be effective upon filing, unless a delayed effective date and/or time is provided. The effective date or the delayed effective date cannot be prior to the date the application is filed. The date and/or time is_____________. (Delayed effective date and/or time) I/We declare under penalty of perjury under the laws of the state of Kentucky that the foregoing is true and correct. _____________________________________________ ________________________________ ____________________ Signature of Organizer Printed Name Date _____________________________________________ ________________________________ ____________________ Signature of Organizer Printed Name Date _____________________________________________ ________________________________ ____________________ Signature of Organizer Printed Name Date I, ______________________________________________________, consent to serve as the registered agent on behalf of the limited liability company. Print Name of Registered Agent ________________________________________________________ ________________________________________ _______________________ Signature of Registered Agent Printed Name Date (01/12) American LegalNet, Inc. www.FormsWorkFlow.com FILING INSTRUCTIONS ARTICLES OF ORGANIZATION NAME The professional limited liability company name must contain the words "professional limited liability company," "professional limited company," "PLC," or "PLLC." The limited liability company name must contain the words "limited liability company" or "limited company" or the abbreviation "LLC" or "LC." If you wish to abbreviate "limited company," you must use the abbreviation "LTD CO." A professional limited liability company name must be distinguishable from any name on record with the Office of the Secretary of State. REGISTERED OFFICE AND REGISTERED AGENT The registered office of the business entity must be in Kentucky and maintain a street address (a PO Box is insufficient for the registered office address). In order to transact business in Kentucky, the registered agent shall be an individual resident of Kentucky, a Kentucky domestic corporation, a Kentucky domestic noncorporation, a Kentucky domestic limited liability company, a foreign corporation, a foreign non-corporation or a foreign limited liability company authorized to transact business in Kentucky. The registered agent is the individual or business designated to receive service of process in the event the business is party to a legal action. The company seeking formation shall not act as its own registered agent. CONSENT OF REGISTERED AGENT Unless the registered agent signs the certificate, the corporation must deliver with the certificate of authority, the registered agent's consent to the appointment. The registered agent must give written consent to act as agent on behalf of the corporation. If the registered agent is a corporation an officer or the chairman of the board of directors must sign on behalf of the corporation. If the registered agent is a limited liability company and management of the company is vested in one or more managers, a manager must sign on behalf of the limited liability company. If management of the company is vested in its members, a member must sign. The person signing on behalf of the business entity acting as agent must designate the title or capacity in which he or she signs. ADDITIONAL ARTICLES OF ORGANIZATION OR NEED TO MODIFY THE EXISTING FORM If this form does not comply with the articles of organization that you wish to file (ie: additional articles, signatures, etc.), please disregard this form and send a drafted executed copy of the articles of organization according to KRS 275 to the address below. PRINCIPAL OFFICE ADDRESS The principal office is the office (in or out of this state) so designated in writing with the Office of the Secretary of State (SOS) where the principal designated office of the business entity is located. This address is where all correspondence from the SOS (See Document Delivery) will be mailed. DELAYED EFFECTIVE DATE AND TIME The document will be effective on the date and time of filing, unless a delayed effective date and/or time is specified. The effective date or the delayed effective date cannot be prior to the date the application is filed. A delayed effective date may not be later than the 90th day after the date of filing. DOCUMENT DELIVERY A file stamped postcard will be sent to the principal office address. If the applicant wishes for the document to be sent to an alternate address other than the principal office, a request must be submitted in writing affirming that request. Alternate address requests must be submitted with each document filed with the Office of the Secretary of State. MANAGEMENT "Manager (s)" means that the professional