Wyoming Non Profit Corporation Articles of Incorporation Form
There is some legal paperwork required for legally creating a non-profit corporation in the State of Wyoming. A complete copy of the following form has to be sent along with a fee. The fee for filing this form is $25.
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For Office Use Only Wyoming Secretary of State State Capitol Building, Room 110 200 West 24 th Street Cheyenne, W Y 82002-0020 Ph. 307.777. 7311 Fax 307.777.5339 Email: [email protected] NP -A rticlesIncorporation - Revised 11/2012 Nonprofit Corporation Articles o f Incorporation 1. Corporation name : 2. This corporation is a : religious ; public benefit ; OR mutual benefit (Check appropriate category . You may refer to W.S. 17- 19-1804 for definitions of these terms.) 3. Name and physical address of its registered agent : (The registered agent may be an individual resident in Wyoming, a domestic or foreign entity authorized to transact business in Wyoming, having a business office identical with such re gistered office. The registered agent must have a physical address in Wyoming. A Post Office Box or Drop Box is not acceptable. If the registered office includes a suite number, it must be included in the registered of fice address.) 4. Mailing addres s of the nonprofit corporation: 5. Principal office address: 6. N ame and address of each i ncorporator: 7. This corporation members (indicate if it will have or will not have members) . ( The term “members” has a specific legal meaning which is that members elect, in a formal meeting, the board of directors. If your corporation has a board of directors which elects itself, then you do not have members. Member s are not donors or volunteers.) NP-A rticlesIncorporation - Revised 11/2012 8. Provisions regarding the distribution of assets upon dissolution are: (How will the assets be distributed, if the nonprofit corporation is dissolved?) 9. For name availability purposes, list the type of business the nonprofit corporation will be conducting: 10. Execution ( all incorporators must sign) : Signature: _________________________________ Date: (mm/dd/yyyy) Print Name: Signature: _________________________________ Date: (mm/dd/yyyy) Print Name: Signatu re: _________________________________ Date: (mm/dd/yyyy) Print Name: Contact Person: Daytime Phone Number: Email: Wyoming Secretary of State State Capitol Building, Room 110 200 West 24 th Street Cheyenne, W Y 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: Business@ wyo.gov RAConsent – Revised 12/11 Consent to Appointment by Registered Agent I, \ , registered office located at (name of registered agent) voluntarily consent to serve * (registered office physical address, city, state & zip) as the registered agent for \ (nam e of business entity) I hereby certify that I am in compliance with the requirements of W.S. 17- 28-101 through W.S. 17- 28-111. Signature:__________________________________________ Date: ( Shall be executed by the registered agent .) (mm/dd/yyyy) Print Name: Daytime Phone : Title: Email: Registered Agent Mailing Address (if different than above) : *If this is a new address, complete the following: Previous Registered Office (s): I hereby certify that: • After the changes are made, the street address of my registered office and business office will be identical. • This change affects every entity served by me and I have notified each entity of the registered office change. • I certify t hat the above information is correct and I am in compliance with the requirements of W.S. 17 -28- 101 through W.S. 17 -28- 111. Signature: __________________________________________ Date: ( Shall be executed by the registered agent .) (mm/dd/yyyy) Checklist Submit o ne originally signed consent to appointment and one exact photocopy.
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