State Form 4162 - Articles Of Incorporation For A Nonprofit Corporation - 2014
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ARTICLES OF INCORPORATION FOR A NONPROFIT CORPORATION
CONNIE LAWSON
SECRETARY OF STATE
State Form 4162 (R13 / 5-14) Corporate Form No. 364-1 (October 1984)
BUSINESS SERVICES DIVISION
Approved by State Board of Accounts, 2014
302 W. Washington Street, E018
Indianapolis, IN 46204
Telephone: (317) 232-6576
INSTRUCTIONS:
1. Use 8 1/2” x 11” white paper for attachments.
2. Present original and one copy to the address in the upper right corner of this form.
3. Please TYPE or PRINT in INK.
Indiana Code 23-17-3-2
4. Please visit our office at
FILING FEE: $30.00
5. Make check or money order payable to Secretary of State.
NOTES:
1. Nonprofit corporations must qualify with the Internal Revenue Service and the Indiana Department of
Revenue. It is strongly suggested you do not complete or file this form before contacting both agencies.
2. Article VII must be completed appropriately. Please see (1) above.
ARTICLES OF INCORPORATION
The undersigned, desiring to form a Corporation (hereinafter referred to as the "Corporation") pursuant to the provisions of the Indiana
Nonprofit Corporation Act of 1991 (hereinafter referred to as the "Act"), execute the following Articles of Incorporation:
ARTICLE I - NAME AND PRINCIPAL OFFICE
Name of the Corporation: (The name must include the word Corporation, Incorporated, Limited, Company or an abbreviation thereof.)
Address of Principal Office (number and street)
City
State
ZIP code
ARTICLE II - PURPOSE
The purposes for which the Corporation is formed are:
Specific language is required by the IRS in this article in order to be approved for 501(c) status. Contact the IRS for assistance.
ARTICLE III - TYPE OF CORPORATION (CHECK ONLY ONE)
The Corporation is a:
public benefit corporation, which is organized for a public or charitable purpose;
religious corporation, which is organized primarily or exclusively for religious purposes; or
mutual benefit corporation (all others).
ARTICLE IV - REGISTERED AGENT AND REGISTERED OFFICE
Registered Agent: The name and street address of the Corporation's Registered Agent and Registered Office for service of process are:
Name of Registered Agent (cannot be the corporation itself.)
State
ZIP code
Address of Registered Office (number and street) (PO Box not accepted)
City
IN
Required:
By checking the box, the Signator(s) represents that the registered agent named in the application has consented to the appointment
of registered agent.
ARTICLE V - MEMBERSHIP
Indicate if Corporation will have members:
Yes
No
(Continued on the reverse side)
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