Form Kps - Articles Of Incorporation - Professional Service Corporation - 2017

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O M M O NW E ALT H O F

ENT U CKY

, 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

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__________________________________________________________________.

Please indicate the county in which your business operates:

County: ___________________________________________.

To complete the following, please shade the box completely.

Please indicate the size of your business:

Please indicate whether any of the following make up more than fifty percent (50%) of your

 Small (Fewer than 50 employees)

business ownership:

 Large (50 or more employees)

 Women-Owned

 Veteran Owned

 Minority Owned