Phone: (503) 986-2200
Articles of Incorporation—Nonprofit
Fax: (503) 378-4381
For office use only
Secretary of State
Corporation Division
255 Capitol St. NE, Suite 151
Salem, OR 97310-1327
Registry Number: ________________________________
Attach Additional Sheet if Necessary
Reset Form
Please Type or Print Legibly in Black Ink
1) N
________________________________________________________________________________________________
AME
2) R
A
7)
W
C
H
M
?
EGISTERED
GENT
ILL THE
ORPORATION
AVE
EMBERS
Yes
No
3) A
R
A
8)
D
A
U
D
DDRESS OF
EGISTERED
GENT (Must be an Oregon Street Address
ISTRIBUTION OF
SSETS
PON
ISSOLUTION
which is identical to the registered agent’s business office. Must include city,
state, zip; no PO boxes.)
4) A
M
N
DDRESS FOR
AILING
OTICES
CHECK HERE TO INDICATE ON YOUR REGISTRATION THAT YOU
DO NOT WANT MAIL SOLICITATION.
PLEASE NOTE, THERE IS NO
OBLIGATION ON THE PART OF PERSONS USING OUR LISTS TO REFRAIN FROM
MAILING SOLICITATIONS. THE MARK IS SIMPLY INFORMATIONAL. ORS 56.022
5) O
P
PTIONAL
ROVISIONS (Attach a separate sheet.)
6) T
C
YPE OF
ORPORATION
Public Benefit
Mutual Benefit
Religious
9)
I
NCORPORATORS (List names and addresses of each incorporator. Attach a separate sheet if necessary.)
10) E
XECUTION (All incorporators must sign. Attach a separate sheet if necessary.)
Printed Name
Signature
FEES
Make check for
$20 payable to
“Corporation Division.”
NOTE: Filing fees may be paid
with VISA or MasterCard. The
card number and expiration date
should be submitted on a separate
11) C
N
ONTACT
AME
D
P
N
– I
A
C
sheet for your protection.
AYTIME
HONE
UMBER
NCLUDING
REA
ODE
CR112 (Rev. 12/99)