Form Nlc - Articles Of Organization - Nonprofit Limited Liability Company - 2012
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1
2COMMONWE ALTH OF KENTUCKY
A
L
G
, S
S
LISON
UNDERGAN
RIMES
ECRETARY OF
TATE
__________________________________________________________________________________________________________________________
Division of Business Filings
Articles of Organization
NLC
Business Filings
Nonprofit Limited Liability Company
PO Box 718
Frankfort, KY 40602
(502) 564-3490
Pursuant to KRS 14A and KRS 275, the undersigned applies to qualify and for that purpose submits the following statements:
Article I: The name of the non-profit limited liability company is
______________________________________________________________________________________________________________.
Article II: The street address of the non-profit limited liability company’s initial registered office in Kentucky is
________________________________________________________________ ______________ ____________ _________________
Street Address Only (No Post Office Box Numbers)
City
State
Zip Code
and the name of the initial registered agent at that office is _______________________________________________________________.
Article III: The mailing address of the non-profit limited liability company’s initial principal office is
________________________________________________________________ ______________ _____________ ________________.
Street Address or Post Office Box Number
City
State
Zip Code
Article IV: The non-profit limited liability company is to be managed by (must check one):
_____
A. a manager(s).
_____
B. its member(s).
Article V: The purpose of the non-profit limited liability company is:
_____________________________________________________________________________________________________________
Article VI: This application will be effective upon filing, unless a delayed effective date and/or time is provided. The effective date or the
delayed effective date cannot be prior to the date the application is filed. The date and/or time __________________________________.
(Delayed effective date and/or time)
I/We declare under penalty of perjury under the laws of the state of Kentucky that the foregoing is true and correct.
_______________________________________________________ ________________________________________ ___________________________
Signature of Organizer
Printed Name
Date
_______________________________________________________ ________________________________________ ___________________________
Signature of Organizer
Printed Name
Date
_______________________________________________________ ________________________________________ ___________________________
Signature of Organizer
Printed Name
Date
I, ___________________________________________, consent to serve as the registered agent on behalf of the limited liability company.
Print Name of Registered Agent
_________________________________________________ ____________________________________ _______________________
Signature of Registered Agent
Printed Name
Date
(01/12)
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