Form Cn 51-02 - Not-For-Profit Corporation Articles Of Incorporation - 2010 Page 3

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8. Name and mailing
address of each
1)
_______________________________________________________________________________________
incorporator:
Name
Do not leave blank
_______________________________________________________________________________________ _
If additional space is needed
Mailing address
City
State
Zip
Country
please provide an attachment
2)
_______________________________________________________________________________________
Name
________________________________________________________________________________________ _
Mailing address
City
State
Zip
Country
3)
______________________________________________________________________________________
Name
________________________________________________________________________________________ _
Mailing address
City
State
Zip
Country
9. Name and mailing
address of the board of
1)
_______________________________________________________________________________________
directors:
Name
This must be completed if the
incorporator’s power terminates
_______________________________________________________________________________________ _
once this document is filed
Mailing address
City
State
Zip
Country
If additional space is needed
2)
_______________________________________________________________________________________
please provide an attachment
Name
________________________________________________________________________________________ _
Mailing address
City
State
Zip
Country
3)
______________________________________________________________________________________
Name
________________________________________________________________________________________ _
Mailing address
City
State
Zip
Country
10. Duration of the
Perpetual
corporation:
______________________________
Date the corporation will cease
Month
Day
Year
11. Effective date:
Upon filing
A future effective date must be
within 90 days of filing date
______________________________
Future effective date
Month
Day
Year
12. I/We declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and
correct and that I/we have remitted the required fee.
Signatures must correspond exactly to the names of the incorporators listed in number 8.
________________________________________________________ ________________________________________________________
Signature of incorporator
Date (month, day, year)
________________________________________________________ ________________________________________________________
Signature of incorporator
Date (month, day, year)
________________________________________________________ ________________________________________________________
Signature of incorporator
Date (month, day, year)
Page 2 of 2
Rev. 12/27/10 jdr
K.S.A . 17-6002

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