PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Return document by mail to:
Name
Address
City
State
Zip Code
Return document by email to:
_________________________________
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Fee: $125
I qualify for a veteran/reservist-owned small business fee exemption (see instructions)
Check one:
Domestic Nonprofit Corporation (§ 5306)
Nonprofit Cooperative Corporation (§ 7102)
In compliance with the requirements of the applicable provisions (relating to articles of incorporation or
cooperative corporations generally), the undersigned, desiring to incorporate a nonprofit/nonprofit cooperative
corporation, hereby state(s) that:
1. The name of the corporation is:
2. Complete part (a) or (b) – not both:
(a) The address of this corporation’s current registered office in this Commonwealth is:
(post office box alone is not acceptable)
Number and Street
City
State
Zip
County
(b) The name of this corporation’s commercial registered office provider and the county of venue is:
c/o:
Name of Commercial Registered Office Provider
County
3. The corporation is incorporated under the Nonprofit Corporation Law of 1988 for the following
purpose or purposes.
4. The corporation does not contemplate pecuniary gain or profit, incidental or otherwise.
5. Check and complete one:
The corporation is organized on a nonstock basis.
The corporation is organized on a stock share basis and the aggregate
number of shares authorized is _______________________________.