State Form 4159 - Articles Of Incorporation

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CONNIE LAWSON
ARTICLES OF INCORPORATION
SECRETARY OF STATE
State Form 4159 (R17 / 12-15)
BUSINESS SERVICES DIVISION
Approved by State Board of Accounts, 2015
302 W. Washington Street, E018
Indianapolis, IN 46204
T elephone: (317) 232-6576
INSTRUCTIONS:
1. Use 8 1/2" x 11" white paper for attachments.
2. Present original and one copy to address in upper right corner of this form.
3. Please TYPE or PRINT in INK.
Indiana Code 23-1-21-2
4. Please visit our office at
FILING FEE: $90.00
5. Make check or money order payable to Secretary of State.
ARTICLES OF INCORPORATION
The undersigned, desiring to form
a for-profit corporation, pursuant to the Indiana Business Corporation Law
a benefit corporation, pursuant to the Indiana Benefit Corporation Act
a professional corporation, pursuant to the Indiana Professional Corporation Act 1983,
a professional benefit corporation, pursuant to the Indiana Benefit Corporation Act
executes the following Articles of Incorporation:
ARTICLE I - NAME AND PRINCIPAL OFFICE
Name of Corporation (The name must include the word Corporation, Incorporated, Limited, Company or an abbreviation thereof.)
Address of Principal Office (number and street)
State
ZIP code
City
ARTICLE II - REGISTERED OFFICE AND AGENT
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.)
Indiana Professional Corporation Act 1983, Indiana Code 23-1.5-1-1, et
seq. (Must include a Certificate of Registration.)
Address of Registered Office (number and street) (PO Box not accepted)
City
ZIP code
State
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 III - AUTHORIZED SHARES
Number of shares the Corporation is authorized to issue: __________________________________________________________________
If there is more than one class of shares, shares with rights and preferences, list such information as "Exhibit A."
ARTICLE IV - INCORPORATORS
(INCORPORATORS MAY NEVER BE AMENDED)
NUMBER AND STREET
NAME
CITY
STATE
ZIP CODE
OR BUILDING
In Witness Whereof, the undersigned being all the incorporators of said Corporation sign these Articles of Incorporation
and verify, subject to penalties of perjury, that the statements contained herein are true,
this _________ day of _______________________________, 20 _______.
Signature of incorporator
Printed name
Signature of incorporator
Printed name
Signature of incorporator
Printed name
This instrument was prepared by: (name)
Address (number and street, city, state, and ZIP code)

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