Form Nai - Articles Of Incorporation Non-Profit Corporation

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______________________________________________________________________________________________________________________________
Division of Business Filings
Articles of Incorporation
NAI
Business Filings
Non-profit Corporation
PO Box 718, Frankfort, KY 40602
(502) 564-3490
Please note: This form does not comply with 501 (C) status. You should contact the Internal Revenue
Service prior to filing the Articles of Incorporation.
Pursuant to KRS 14A and KRS 273, the undersigned applies to qualify and for that purpose submits the following statements:
Article I: The name of the corporation is_________________________________________________________________________________.
Article II: The purpose for which the corporation is organized________________________________________________________________.
Article III: The name of the registered agent is ___________________________________________________________________________.
and the street address of the corporation’s initial registered office in Kentucky is
_________________________________________________ ______________________ _____________________ __________________.
Street Address (No Post Office Box Numbers)
City
State
Zip Code
Article IV: The mailing address of the corporation’s principal office is
_________________________________________________ ______________________ _____________________ __________________.
Street or PO Box Number
City
State
Zip Code
Article V: The number of directors (minimum of three (3) required) constituting the initial board of directors is __________________________.
The names and mailing addresses of the persons who are to serve as the initial board of directors are as follows:
_____________________ __________________________________________ _____________________ ______________ ___________
Name
Street or PO Box Number
City
State
Zip Code
________________________ _______________________________________________ ________________________ ________________ ____________
Name
Street or PO Box Number
City
State
Zip Code
________________________ _______________________________________________ ________________________ ________________ ____________
Name
Street or PO Box Number
City
State
Zip Code
Article VI: The name and mailing address of the incorporator is
________________________ _______________________________________________ ________________________ ________________ ____________
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 VII: 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____________________________________.
Please indicate the county in which your business operates:
County: ___________________________________________.
To complete the following, please shade the box completely.
Please indicate which of the following best describes your business:
Gas, Sanitary Services
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
Print 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
Print Name &Title
Date
(05/17)

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