State of North Carolina
Department of the Secretary of State
ARTICLES OF INCORPORATION
(PROFESSIONAL CORPORATION)
Pursuant to Chapter 55B and § 55-2-02 of the General Statutes of North Carolina, the undersigned does hereby
submit these Articles of Incorporation for the purpose of forming a professional corporation:
1.
The name of the corporation is:__________________________________________________________
2.
The number of shares the corporation is authorized to issue is:__________________________________
These shares shall be: (check either a or b)
a.____all of one class, designated as common stock; or
b.____divided into classes or series within a class as provided in the attached schedule, with the
information required by N.C.G.S. § 55-6-01.
3.
The street address and county of the initial registered office of the corporation is:
Number and Street____________________________________________________________________
City, State, Zip Code_____________________________________County________________________
4.
The mailing address if different from the street address of the initial registered office is:
____________________________________________________________________________________
5.
The name of the initial registered agent is:__________________________________________________
6.
Any other provisions, which the corporation elects to include, are attached.
7.
The specific purpose for which the corporation is being formed:________________________________
____________________________________________________________________________________
8.
The name and address of each incorporator is as follows: (Attach additional sheets if necessary.)
9.
With respect to each professional service to be practiced through the corporation, the name of at least
one of the corporation’s incorporators who is a licensee of the licensing board which regulates such
profession in this State is:
10.
A certification by the appropriate licensing board that the shareholder interests of the corporation are in
compliance with the requirements of N.C.G.S. Sections 55B-4(2) and 55B-6 is attached.
Revised January 2000
Form PC-05
CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-0622