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Kentucky Domestic Non Profit Articles of Incorporation Form

In the case of wanting to create a domestic non-profit corporation in the State of Kentucky, the following form has to be completed and submitted.

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(01/12) 	
 	
 	
C O M M O N W E A L T H   O F   K E N T U C K Y	 	
A L I S O N   L U N D E R G A N   G R I M E S ,   S E C R E T A R Y   O F   S T A T E	 	
 	
_____________________________________________________________	__________________________________________	_______	__________	__ 	
Division of 	Business Filings	 	
Business Filings	 	
PO Box 718	 	
Frankfort, KY 40602	 	
(502) 564	-3490	 	
www.sos.ky.gov	 	
 
Pursuant to 	KRS 14A and 	KRS 273, the undersigned applies to qualify and for that purpose submits the following statements:	 	
 
Article I: The name of the corporation is	___________________	________	_____________	_________________________________________	. 	
 
Article II: The purpose for which the corporation is organized	________	_____________	____________________________________________	. 	
 
Article III: The name of the registered agent is ___________________	________	_____	____________	________________________________	. 	
 
and the street address of the corporation’s initial registered office in Kentucky is 	 	
 
__________________	_______________________________ 	_________	_____________ _____________________ 	_____	____________	_. 	Street	 Address (No Post Office Box Numbers)	  	 	City	 	 	 	State	 	 	 	Zip Code	 	
 
Article IV: The mailing address of the corporation’s principal office is	 	
 
_________________	________	________________________ ______________________ _____________________ 	_____	____________	_. 	Stre	et or PO Box Number	 	 	 	 	 	City	 	 	 	State	 	 	 	Zip Code	 	
 
Article V: The number of directors 	(minimum of three (3) required) 	constituting the initial board of directors is ______	___	______	___________	. 	
 
The names and mailing addresses of the persons who are to serve 	as the initial board of directors are as follows:	 	
 
_____________________ 	________________________________	__________ _____________________ ______________ 	___________	 	Name	 	 	 	Street or PO Box Number	 	 	 	 	City	 	 	 	State 	 	 	Zip Code	 	 ________________________ 	_______	______________________	____	______________	 ________________________ ________________ 	______	______	 	Name	 	 	 	Street or PO Box Number	 	 	 	 	City	 	 	 	State 	 	 	Zip Code	 	 ________________________ 	_______________________________________________	 _____________	___________ 	___	_____	_______	_ ____________	 	Name	 	 	 	Street or PO Box Number	 	 	 	 	City	 	 	 	State 	 	 	Zip Code	 	
 
Article VI: The name and mailing address of 	the 	incorporator is	 	 ________________________ 	________________	_______________________________ ________________________ _______	_________ 	_________	___	 	Name	 	 	 	Street Address or Post Office Box Number	 	 	City	 	 	 	State	 	 	Zip Code	 	 ________________________ 	________________	_______________________________ ________________________ 	___	_____________ 	____________	 	Name	 	 	 	Street Address or Post Of	fice Box Number	 	 	City	 	 	 	State	 	 	Zip Code	 	 	________________________ 	________________	_______________________________ ________________________ 	___	_____________ 	____________	 	Name	 	 	 	Street Address or Post Office Box Number	 	 	City	 	 	 	State	 	 	Zip Code	 	
 
  Article VII:	 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 is___	___________________	___	___________.  	  	    	 	 	 	 	 	 	 	 	 	          	(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 Incorporator	 	 	 	 	 	Print	 Name 	& Title	  	 	 	Date	 	
 
I, ______________________________________________________, consent to serve as the registered agent on behalf of the 	corporation	. 	   Print N	ame of Registered Agent 	 	
    _________________________	_______________________________ 	____________________	______________	______ 	_____________________________	 	Signature of Registered Agent	 	 	 	 	Print 	Name	 &Title	  	 	 	Date	 	 	 	
Articles of Incorporat	ion	                        	      	  	 	NAI	 	
Non	-profit Corporation	 	
Please note: 	This form does not comply with 501 (C) status. You should contact the Internal Revenue 	Service prior to filing the Articles of Incorporation.

(01/12) 	
 
 	FILING INSTRUCTIONS	 	
ARTICLES OF INCOR	PORATION	 	NAME	 	The 	corp	orate name must contain the word	 “corporation,” “incorporated,” or the abbreviation: “Inc,” or the word “	corporation	” or the abbreviation “Co.,” but if the 	word “	corporation	” or the abbreviation “CO.” is used it may not immediately 	proceeded	 by the word “and” or the abbreviation “&.”	  A corporation name must be 	distinguishable upon the records of the 	Office of the Secretary of State	 from any other name on record with the 	Office of the Secretary of State	. 	 PURPOSE	 	Corporations may be or	ganized under KRS 273.161 to 273.390 for any lawful purpose or purposes, including, without being limited to charitable benev	olent; 	eleemosynary; educational; civic; patriotic; political; governmental; 	religious; social; recreational;	 fraternal; literary; 	cultural; athletic; scientific; agricultural; 	horticultural; anim	al husbandry; and professional, commercial	, industrial or trade association; but labor unions, cooperative 	incorporation	s and 	incorporation	s 	subject to any of the provisions of the insurance 	laws or banking laws of this state may not be organized under KRS 273.161 to 273.390. 	 	 REGISTERED OFFICE AND REGISTERED AGENT	 	The  registered  office	 of  the 	business  entity  must 	be  in  Kentucky  and  maintain  a  street  address  (a  PO  Box  is  insufficient  for  the 	registered  office  address).    In 	order to transact business in Kentucky, the registered agent	 shall be an individual  resident of Kentucky, a Kentucky domestic corporation, a Kentucky domestic 	non	-corporation, a Kentucky domestic limited liability company, a	 foreign corporation, a foreign non	-corporation or a foreign limited liability company authorized 	to transact business in Kentucky. 	The registered agent is the individual or business designated to receive service of process in the event the business is par	ty to 	a legal action.  The company seeking formation shall not act as its own registered agent. 	 	 CONSENT OF REGISTERED AGENT	 	Unless the registered agent signs the 	certificate	, the corporation must deliver with the 	certificate of authority	, the registered 	agent’s consent to the appointment.  	The registered agent must give written consent to act as agent on behalf of the corporation.  If the registered agent is a co	rporation an officer or the chairman of 	the board of directors must sign on behalf of the corp	oration.  If the registered agent is a limited liability company and management of the company is vested in 	one or more managers, a manager must sign on behalf of the limited liability company.  If management of the company is vested	 in its members, a memb	er must 	sign.  The person signing on behalf of the business entity acting as agent must designate the title or capacity in which he o	r she signs.	 	 PRINCIPAL OFFICE ADDRESS	 	 The principal  office is the office (in or out of this state) so designated in writi	ng with the Office of the Secretary of State where the principal  designated office of 	the business entity is located.  This address is where all correspondence from the Office of the Secretary of State (See Docu	ment Delivery) will 	be mailed	.  	  DOCUMENT DE	LIVERY	 	A file stamped postcard will be sent to the principal office address.  If the applicant wishes for the document to be sent to	 an alternate address other than the 	principal office, a request must be submitted in writing affirming that request.  Alter	nate address requests must be submitted with each document filed with the 	Office of the Secretary of State.   	 	 DELAYED 	EFFECTIVE DATE AND TIME	 	The document will be effective on the date and time of filing, unless a delayed effective date 	and/or time is sp	ecified.  The effective date or the delayed effective 	date cannot be prior to the date the application is filed.  A delayed effective date may not be later than the 90	th day after the date of filing. 	 	 ADDITIONAL ARTICLES OF INCORPORATION OR NEED TO MODIFY	 THE EXISTING FORM	 	If this form does not comply with the articles of incorporation that you wish to file (ie: additional articles, signatures, e	tc.), please disregard this form and send a 	drafted executed copy of the articles of incorporation according to 	KRS 271B to the address below.  	 	 BOARD OF DIRECTORS	 	The number of directors of a 	non	-profit	 corporation shall not be less than 3. The directors constituting the first board of directors shall be named in the articles 	of 	incorporation and shall hold office	 until the first annual election of directors. 	 	 REQUIREMENTS FOR DOCUMENTS TO BE PROPERLY FILED	 	The documents 	must be signed by 	an incorporator. 	 	 FILING FEE	 	The filing fee for Articles of 	Incorporation	 for a non	-profit corporation 	is $	8.00.  Your check s	hould be made payable to the "Kentucky State Treasurer." 	 	 MAILING ADDRESS	 	 	 	OFFICE LOCATION	 	Alison Lundergan Grimes	 	 	 	Room 154, Capitol Building	 	Office of the Secretary of State	 	 	700 Capital Avenue	 	P. O. Box 718	 	 	 	 	Frankfort, KY  40601	 	Frankfort, KY  4060	2-0718	 	 	 	Hours of Operation: 8:00 AM	-4:30 PM ET	 	 CONTACT INFORMATION AND NAME AVAILABILITY	 	If you have any questions, need additional forms or wish to search for name availability, please feel free to visit our websi	te at www.sos.ky.gov or call 	502	-564	-	349	0. 	 FUTURE DOCUMENTATION REQUIREMENTS AND DEADLINES: 	The non	-profit	 corporation	 must file an 	annual report	 with the 	Office of the Secretary of 	State	 between January 1 and June 30 of the year following the calendar year in which the corporation was formed. 	 Subsequent annual reports must be filed 	with the 	Office of the Secretary of State	 between January 1 and June 30 of the following calendar years.   A 	statement of change	 of the registered agent and/or 	registered office address or principal office address m	ust be filed with the 	Office of the Secretary of State	 whenever a change has occurred involving any of the 	above categories.  	You may file your	 statement of change or 	annual report online at www.sos.ky.gov.
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