8.
The names and respective addresses of its officers and directors are:
Office
Name
Address
President ________________________________________________________________________
Vice-President ___________________________________________________________________
Secretary ________________________________________________________________________
Director ________________________________________________________________________
Director ________________________________________________________________________
Director ________________________________________________________________________
9.
This corporation is a
public benefit corporation,
mutual benefit corporation, or
religious corporation.
(Check appropriate line.)
10.
This corporation has members __________ (Yes or No).
11.
The corporation accepts the Constitution of this state in compliance with the requirements of article 10,
section 5 of the Wyoming Constitution.
Date: __________________________
Signed: _________________________________________
Title:___________________________________________
State of _____________________
County of ___________________
I, _____________________________________, Notary Public, do hereby certify that on this _________ day of
_________________________, ____________ personally appeared before me __________________________________,
who, being by me first duly sworn, declared that he/she signed the foregoing document as
_____________________________________ of the corporation, and that the statements therein contained are true.
In witness whereof, I have hereunto set my hand and seal this _____________________ day of
__________________________, ________________.
_______________________________________________________
Notary Public
(Notarial Seal)
My commission expires: ____________________________________
************************************************************************************
Filing Fee: $25.00
npaofcon - Revised: 12/2004
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