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Form 200 - Instructions For Filing Articles Of Incorporation For A Non-Profit Corporation Page 3

6. The number of the initial Board of Directors of the Corporation is ____ (not less than 3 directors) and the names and

address of the persons who are to serve as the initial directors are:

NAME

ADDRESS

Check the box to indicate an attachment.

7. The name and address of each incorporator is:

NAME

ADDRESS

Check the box to indicate an attachment.

8. Date when these articles will be effective: CHECK ONLY ONE BOX

Date received (Upon filing)

Later effective date (Date must be no more than 30 days from the day of filing) ____________________________

Under penalty of perjury, I/we declare and affirm that I/we have examined these Articles of Incorporation, including

any accompanying attachments, and that all statements contained herein are true and correct.

Type or Print Name of Incorporator

Date

Signature of Incorporator

SIGN DOCUMENT HERE

Type or Print Name of Incorporator

Date

Signature of Incorporator

SIGN DOCUMENT HERE

Type or Print Name of Incorporator

Date

Signature of Incorporator

SIGN DOCUMENT HERE

If you have any questions, please call us at (401) 222-3040, Monday through Friday,

between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.

FORM 200 - Revised: 05/2016

Form 200 - Instructions For Filing Articles Of Incorporation For A Non-Profit Corporation Page 3