Form Kps - Articles Of Incorporation - Professional Service Corporation - 2012

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COMMONWE ALTH OF KENTUCKY
A
L
G
, S
S
LISON
UNDERGAN
RIMES
ECRETARY OF
TATE
______________________________________________________________________________________________________________________________
Business Filings
Division of
Articles of Incorporation
KPS
Business Filings
Professional Service Corporation
PO Box 718
Frankfort, KY 40602
(502) 564-3490
Pursuant to KRS 14A, KRS 271B and KRS 274, the undersigned applies to qualify and for that purpose submits the following statements:
Article I: The name of the corporation is_______________________________________________________________________________________________.
Article II: The number of shares the corporation is authorized to issue is _____________________________________________________________________.
Article III: The name and street address of the corporation’s initial registered agent and office in Kentucky is
________________________ ________________________________________________ ________________ _______________________ ____________
Name
Street Address (No Post Office Box Numbers)
City
State
Zip Code
Article IV: The mailing address of the corporation’s principal office is
________________________________________________________________________ ________________ _______________________ _____________.
Street Address or Post Office Box Number
City
State
Zip Code
Article V: The profession to be practiced through the professional service corporation is _________________________________________________________.
Article VI: The names and street addresses of the original shareholders of the professional service corporation are:
________________________ ________________________________________________ ________________ _______________________ ____________
Name
Street Address
City
State
Zip Code
________________________ ________________________________________________ ________________ _______________________ ____________
Name
Street Address
City
State
Zip Code
________________________ ________________________________________________ ________________ _______________________ ____________
Name
Street Address
City
State
Zip Code
Article VII: The name and street address of the incorporator is as follows:
________________________ ________________________________________________________ ________________ _______________ ____________
Name
Street Address or Post Office Box Number
City
State
Zip Code
________________________ ________________________________________________________ ________________ _______________ ____________
Name
Street Address or Post Office Box Number
City
State
Zip Code
________________________ ________________________________________________________ ________________ _______________ ____________
Name
Street Address or Post Office Box Number
City
State
Zip Code
Article VIII: Each of the incorporators, shareholders, not less than one half (1/2) of the directors and each of the officers other than secretary or treasurer is a
qualified person within the meaning of this chapter.
Article IX: 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 Incorporator
Printed Name
Title
Date
I, ______________________________________________________, consent to serve as the registered agent on behalf of the corporation.
Print Name of Registered Agent
________________________________________ ________________________________________ ________________________________ ______________
Signature of Registered Agent
Printed Name
Title
Date
(01/12)

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