FILING FEE:N/A Name of Business*: *Name of the business or organization being registered as listed in the Articles of Incorporation, Articles of Organization orApplication for Certificate of Authority. The name must include an appropriate name ending as required by WV Code.Professional Business Organizations: In West Virginia, "Professional Service" means services rendered by the following professions: Attorneys-at-law under article two, physicians and podiatrists under article three, dentists under article four, optometrists under article eight, accountants under article nine, veterinarians under article ten, architects under article twelve, engineers under article thirteen, osteopathic physicians and surgeons under article fourteen, chiropractors under article sixteen, psychologists under article twenty-one, social workers under article thirty, acupuncturists under article thirty-six and land surveyors under article thirteen-a, all of chapter thirty of this code. (W.Va. Code 24731B-13-1301 ) Depending on the limitations of the licensing professional board, professional business organizations may form as a 223Professional Limited Liability Company224, a Legal Corporation (W.Va. Code 24730-2-5a ), a Medical or Podiatry Corporation (W.Va. Code 24730-3-15), an Accounting Corporation (W.Va. Code 24730-9-30 ), or other professional business formation. The Professional Business Organization will be formed as (Check One below): To form as any professional business organization listed below, the applicant must attach this VERIFICATION OF ELIGIBILITY (Form VOE) to one of the appropriate Secretary of State business registration applications listed below: Legal Corporation - Form to accompany Articles of Incorporation (CD-1) or Foreign Corporation (CF-1). Medical Corporation - Form to accompany Articles of Incorporation (CD-1) or Foreign Corporation (CF-1). Podiatry Corporation - Form to accompany Articles of Incorporation (CD-1) or Foreign Corporation (CF-1). Accounting Corporation - Form to accompany Articles of Incorporation (CD-1) or Foreign Corporation (CF-1). Professional Limited Liability Company - Form to accompany Articles of Organization of LLC (LLD-1) or Foreign LLC (LLF-1). Limited Liability Partnership - Form to accompany Statement of Limited Liability Partnership (LLP-1) [for both Domestic and Foreign Limited Liability Partnerships]. Limited Partnership - Form to accompany Certificate of Limited Partnership (LP-1) or Foreign Statement of Limited Partnership (LP-2). Other - Please explain the type of professional business organization formation and cite the West Virginia Code provision authorizing the same in the spaces provided below. Type of Professional Business: W.Va. Code Cite: On behalf of Licensing Board, I,the eligibility of the business listed hereinabove to engage in the professional services described above, and to form in the State of West Virginia.* * * * For Official State Licensing Board Use Only * * * * Printed Name: Address: Signature: Date: Phone Number: FILE ONE ORIGINAL(Two if you want a filed stamped copy returned to you.)West Virginia Secretary of State Business & Licensing Division Tel: (304)558-8000 Fax: (304)558-8381 Website: www.wvsos.gov, hereby verifyForm VOE Rev. 12/2017VERIFICATION OF ELIGIBILITY FOR PROFESSIONAL BUSINESS ORGANIZATIONS Form must accompany the West Virginia Secretary of State business registration (Articles of Incorporation, Articles of Organization or foreign Certificate of Authority registration below).