Form Cad-1 - Articles Of Incorporation For A Cooperative Association - 2013 Page 3
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5WEST VIRGINIA ARTICLES OF INCORPORATION FOR A COOPERATIVE ASSOCIATION
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12. The number of acres of land it holds or expects to hold in West Virginia is:
13. Contact and Signature Information* (See below Important Legal Notice Regarding Signature):
a.
Contact person to reach in case there is a problem with filing:
Phone#
b. Print name of person who is signing articles of incorporation:
c. Signature of Incorporator:
Date:
*Important Legal Notice Regarding Signature: Per West Virginia Code §31D-1-129. Penalty for signing false
document. Any person who signs a document he or she knows is false in any material respect and knows that the document
is to be delivered to the secretary of state for filing is guilty of a misdemeanor and, upon conviction thereof, shall be fined
not more than one thousand dollars or confined in the county or regional jail not more than one year, or both.
14. Notary Authorization (the application must be signed in the presence of a Notary Public):
STATE OF WEST VIRGINIA
COUNTY OF
The foregoing instrument was acknowledged before me this
by
(Date)
.
(Name of person acknowledged)
My commission expires
Notary Public
Form CAD-1
Issued by the Office of the Secretary of State
Revised 7/13
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