Form Pc-05a - Articles Of Incorporation Including Articles Of Conversion (Professional Corporation) - Nc Secretary Of State - 2002 Page 3
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1
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3Instructions for Filing
ARTICLES OF INCORPORATION
INCLUDING ARTICLES OF CONVERSION
(PROFESSIONAL CORPORATION)
Item 1
Enter the complete corporate name which must include a corporate ending required by N.C.G.S. Sections 55B-5 and
55D-20 (corporation, company, limited, incorporated, corp., co., ltd., inc., Professional Association, Professional
Corporation, P.A., or P.C.)
Item 2
Enter the name of the converting business entity and the name of the state or country whose laws govern the
converting business entity’s organization and internal affairs.
Item 3
Identify which type of business entity the converting business is.
Item 4
Enter the number of shares the corporation will have the authority to issue. Check (a) or (b), whichever is
applicable. If (b) is checked, add an attachment that includes the description of the designations, preferences,
limitations, and relative rights of the shares.
Item 5
Enter the complete street address of the registered office and the county in which it is located.
Item 6
Enter the complete mailing address of the registered agent only if mail is not delivered to the street address stated in
Item 3 or if you prefer to receive mail at a P.O. Box or Drawer.
Item 7
Enter the name of the registered agent. The registered agent must be either a North Carolina resident at least 18
years old, an existing business corporation, non-profit corporation, limited liability company, or a foreign business
corporation, non-profit corporation or limited liability company authorized to transact business or conduct affairs in
North Carolina.
Item 8
Select item “a” if the corporation has a principal office. Enter the complete street address of the principal office and
the county in which it is located. If mail is not delivered to the street address of the principal office or if you prefer
to receive mail at a P.O. Box or Drawer, enter the complete mailing address of the principal office.
Select item “b” if the corporation does not have a principal office.
Item 9
See form.
Item 10
Enter the specific personal services to be rendered by the corporation.
Item 11
Enter the name and address of each incorporator. Only one incorporator is required in order to file.
Item 12
See form. N.C.G.S. § 55B-4(1).
Item 13
See form. N.C.G.S. § 55B-4(4).
Item 14
The document will be effective on the date and at the time of filing, unless a delayed date or an effective time (on
the day of filing) is specified. If a delayed effective date is specified without a time, the document will be effective
at 11:59:59 p.m. on the day specified. If a delayed effective date is specified with a time, the document will be
th
effective on the day and time so specified. A delayed effective date may be specified up to and including the 90
day after the day of filing.
Date and Execution
Enter the date the document was executed.
In the blanks provided enter:
•
The name of the entity executing the Articles of Incorporation; if an individual, leave blank.
•
The signature of the incorporator or representative of the incorporating entity.
•
The name of the incorporator or name and title of the above signed representative
ATTENTION: Corporations wishing to render a professional service as defined in N.C.G.S. §55b-2(6) shall contact the appropriate
North Carolina licensing board to determine whether compliance with additional licensing requirements may be mandated by law.
Revised January 2002
Form PC-05A
CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-0622
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