State Form 4162 - Articles Of Incorporation For A Nonprofit Corporation - 2014 Page 2
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2ARTICLE VI - INCORPORATOR(S)
(INCORPORATORS MAY NEVER BE AMENDED)
Name(s) and address(es) of the incorporator(s) is/are as follows:
Name
Number and Street or Building
City
State
ZIP code
ARTICLE VII - DISTRIBUTION OF ASSETS ON DISSOLUTION OR FINAL LIQUIDATION
Refer to Indiana Code 23-17-22-5 for permitted activities following Dissolution:
Specific language is required by the IRS in this article in order to be approved for 501(c) status. Contact the IRS for assistance.
* Please note this section must be completed.
ARTICLE VIII - INCORPORATOR(S)
(INCORPORATORS MAY NEVER BE AMENDED)
In witness whereof, the undersigned incorporator(s) of said Corporation execute(s) this document, and verify(ies) subject to penalties of
perjury that the facts contained herein are true this _____________________ day of ______________________________, 20______.
Signature
Printed name
Signature
Printed name
Signature
Printed name
This instrument was prepared by: (name)
Address (number and street or building)
City
State
ZIP code
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