Form Pai - Articles Of Incorporation - Profit Corporation Wit Instructions - 2012
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1
2COMMONWEALTH OF KENTUCKY
ALISON LUNDERGAN GRIMES, SECRETARY OF STATE
_____________________________________________________________________________________________________________________________
Division of
Business Filings
Articles of Incorporation
PAI
Business Filings
Profit Corporation
PO Box 718
Frankfort, KY 40602
(502) 564-3490
Pursuant to KRS 14A and KRS 271B, 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 street address of the corporation’s initial registered office in Kentucky is
_____________________________________________________________________________________________________
Street Address (No Post Office Box Numbers)
City
State
Zip Code
and the name of the initial registered agent at that office is _______________________________________________________.
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 name and mailing 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 VI: 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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