PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS Return document by mail to: Name Address City State Zip Code Return document by email to: _________________________________ Read all instructions prior to completing. This form may be submitted online at https://www.corporations.pa.gov/. Fee: $125 Check one: I qualify for a veteran/reservist-owned small business fee exemption (see instructions) Domestic Nonprofit Corporation (§ 5306) Nonprofit Cooperative Corporation (§ 7102) In compliance with the requirements of the applicable provisions (relating to articles of incorporation or cooperative corporations generally), the undersigned, desiring to incorporate a nonprofit/nonprofit cooperative corporation, hereby state(s) that: 1. The name of the corporation is: 2. Complete part (a) or (b) ­ not both: (a) The address of this corporation's current registered office in this Commonwealth is: (post office box alone is not acceptable) Number and Street City State Zip County (b) The name of this corporation's commercial registered office provider and the county of venue is: c/o: Name of Commercial Registered Office Provider County 3. The corporation is incorporated under the Nonprofit Corporation Law of 1988 for the following purpose or purposes. 4. The corporation does not contemplate pecuniary gain or profit, incidental or otherwise. 5. Check and complete one: The corporation is organized on a nonstock basis. The corporation is organized on a stock share basis and the aggregate number of shares authorized is _______________________________. American LegalNet, Inc. www.FormsWorkFlow.com DSCB:15-5306/7102-2 6. For unincorporated association incorporating as a nonprofit corporation only. Check if applicable: _____ The incorporators constitute a majority of the members of the committee authorized to incorporate such association by the requisite vote required by the organic law of the association for the amendment of such organic law. 7. For Nonprofit Corporation Only: Check one: ______ The corporation shall have no members. ______ The corporation shall have members. 8. For Nonprofit Cooperative Corporation Only: Check and complete one: ____ The corporation is a cooperative corporation and the common bond of membership among its members is: . ____ The corporation is a cooperative corporation and the common bond of membership among its shareholders is: . 9. The name(s) and address(es) of each incorporator(s) is (are) (all incorporators must sign below): Name(s) Address(es) 10. The specified effective date, if any, is: month day year hour, if any 11. Additional provisions of the articles, if any, attach an 8½ x 11 sheet. IN TESTIMONY WHEREOF, the incorporator(s) has/have signed these Articles of Incorporation this day of , . Signature Signature Signature American LegalNet, Inc. www.FormsWorkFlow.com DSCB:15-5306/7102 - Instructions Pennsylvania Department of State Bureau of Corporations and Charitable Organizations P.O. Box 8722 Harrisburg, PA 17105-8722 (717) 787-1057 Website: www.dos.pa.gov/corps Instructions for Completion of Form ­ (Articles of Incorporation­Nonprofit): A. Typewritten is preferred. If handwritten, the form shall be legible and completed in black or blue-black ink in order to permit reproduction. The nonrefundable filing fee for this form is $125 made payable to the Department of State. Checks must contain a commercially pre-printed name and address. Filers requesting a veteran/reservist-owned small business fee exemption should attach proof of the veteran's or reservist's status to the Articles of Incorporation form when submitted. For more information on the fee exemption, see Fees and Payments. Enter the name and mailing address to which any correspondence regarding this filing should be sent. This field must be completed for the Bureau to return the filing. If the filing is to be returned by email, an email address must be provided. An email will be sent to address provided, containing a link and instructions on how a copy of the filed document or correspondence may be downloaded. Any email or mailing addresses provided on this form will become part of the filed document and therefore public record. B. Under 15 Pa.C.S. § 135(c) (relating to addresses) an actual street or rural route box number must be used as an address, and the Department of State is required to refuse to receive or file any document that sets forth only a post office box address. C. The following, in addition to the filing fee, shall accompany this form: (1) One copy of a completed form DSCB:15-134A (Docketing Statement). (2) Any necessary copies of form DSCB:19-17.2 (Consent to Appropriation of Name). (3) Any necessary governmental approvals. D. For Domestic Nonprofit Corporation Only: For general instructions relating to the incorporation of nonprofit corporations see 19 Pa. Code Ch. 41 (relating to nonprofit corporations generally). These instructions relate to such matters as corporate name, stated purposes, term of existence, authorized share structure, inclusion of names of first directors in the Articles of Incorporation, provisions on incorporation of unincorporated associations, etc. E. For Nonprofit Cooperative Corporation Only: For general instructions relating to the incorporation of cooperative corporations see 19 Pa. Code Ch. 51 (relating to cooperative corporations). Under 15 Pa.C.S. § 7103 (relating to use of term "cooperative" in corporate name) the corporate name in Paragraph 1 must, unless otherwise provided by statute, contain one of the terms "cooperative" or "coop." See 19 Pa. Code § 17.7 (relating to cooperative names). See also the general instructions relating to the incorporation of nonprofit corporations, 19 Pa. Code Ch. 41 (relating to nonprofit corporations generally). These instructions relate to such matters as corporate name, stated purposes, term of existence, authorized share structure, inclusion of names of first directors in the Articles of Incorporation, provisions on incorporation of unincorporated associations, etc. Under 15 Pa.C.S. § 7102(a) the articles of the corporation must set forth a common bond of membership among its members or shareholders by reason of occupation, residence or otherwise. F. One or more corporations or natural persons of full age may incorporate a nonprofit/nonprofit cooperative corporation. G. Per 15 Pa.C.S. § 5307 (relating to advertisement), the incorporators shall advertise their intention to fil