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Articles Of Incorporation Form. This is a Wyoming form and can be use in Corporations Secretary Of State.
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Tags: Articles Of Incorporation, Wyoming Secretary Of State, Corporations
Wyoming Secretary of State
State Capitol Building, Room 110
200 West 24th Street
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email: business@state.wy.us
For Office Use Only
Nonprofit Corporation
Articles of Incorporation
1. Corporation name:
2. This corporation is a:
religious
; public benefit
; OR mutual benefit
(Check appropriate category. You may refer to W.S. 17-19-1804 for definitions of these terms.)
3. Name and physical address of its registered agent:
(The registered agent may be an individual resident in Wyoming, a domestic or foreign entity authorized to transact business in Wyoming,
having a business office identical with such registered office. The registered agent must have a physical address in Wyoming. A Post Office
Box or Drop Box is not acceptable. If the registered office includes a suite number, it must be included in the registered office address.)
4. Mailing address of the nonprofit corporation:
5. Principal office address:
6. Name and address of each incorporator:
7. This corporation
members (indicate if it will have or will not have members).
(The term “members” has a specific legal meaning which is that members elect, in a formal meeting, the board of directors. If your
corporation has a board of directors which elects itself, then you do not have members. Members are not donors or volunteers.)
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8. Provisions regarding the distribution of assets upon dissolution are:
(How will the assets be distributed, if the nonprofit corporation is dissolved?)
9. For name availability purposes, list the type of business the nonprofit corporation will be conducting:
10. Execution (all incorporators must sign):
Signature: _________________________________
Date:
(mm/dd/yyyy)
Print Name:
Signature: _________________________________
Date:
(mm/dd/yyyy)
Print Name:
Signature: _________________________________
Date:
(mm/dd/yyyy)
Print Name:
Contact Person:
Daytime Phone Number:
Email:
NP-ArticlesIncorporation - Revised 08/13/2009
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Checklist
Filing Fee: $25.00 Make check or money order payable to Wyoming Secretary of State.
The Articles must be in compliance with Wyoming Statutes 17-19-120 and 17-19-202.
The Articles of Incorporation must be originally signed by all incorporators and all directors listed in the
Articles.
The Articles must be accompanied by a written consent to appointment executed by the registered agent.
For consistency the Secretary of State’s Office will only keep one version of the agent’s name on file.
Please submit one originally signed document and one exact photocopy of the filing.
Please review form prior to submitting to the Secretary of State to ensure all areas have been
completed to avoid a delay in the processing of your documents.
IMPORTANT NOTICE:
If you are applying for 501(c) status with the Internal Revenue Service, you may need specific language in your
articles. Please contact the IRS at 5353 Yellowstone Road, Cheyenne, WY 82001 or by phone at 1.800.829.1040.
Information may also be obtained from the IRS website at http://www.irs.gov.
Other Requirements:
An annual report will be due annually on the first day of the anniversary month of formation. If not paid within sixty
(60) days from the due date, the entity will be subject to dissolution/revocation.
NP-ArticlesIncorporation - Revised 08/13/2009
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Wyoming Secretary of State
State Capitol Building, Room 110
200 West 24th Street
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email: business@state.wy.us
Consent to Appointment by Registered Agent
I,
, registered office located at
(name of registered agent)
voluntarily consent to serve
* (registered office physical address, city, state & zip)
as the registered agent for
(name of business entity)
I hereby certify that I am in compliance with the requirements of W.S. 17-28-101 through W.S. 17-28-111.
Signature:__________________________________________
Date:
(Shall be executed by the registered agent.)
Print Name:
Daytime Phone:
Title:
(mm/dd/yyyy)
Email:
Registered Agent Mailing Address
(if different than above):
*If this is a new address, complete the following:
Previous Registered Office(s):
I hereby certify that:
After the changes are made, the street address of my registered office and business office will be identical.
This change affects every entity served by me and I have notified each entity of the registered office change.
I certify that the above information is correct and I am in compliance with the requirements of W.S. 17-28-101 through
W.S. 17-28-111.
Signature: __________________________________________
Date:
(Shall be executed by the registered agent.)
(mm/dd/yyyy)
Checklist
Submit one originally signed consent to appointment and one exact photocopy.
RAConsent – Revised 10/21/2009
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