ARTICLES OF INCORPORATION
DOMESTIC CORPORATION
State Form 4159 (R19 / 6-16)
Approved by State Board of Accounts, 2016
SECRETARY OF STATE
BUSINESS SERVICES DIVISION
302 West Washington Street, Room E018
Indianapolis, IN 46204
Telephone: (317) 232-6576
www.sos.in.gov
INSTRUCTIONS: 1. Use 8 ½”x11 white paper for attachments.
2. Please TYPE
or PRINT in INK.
3. Please visit our office at www.sos.IN.gov
4. Make check or money order payable to the Secretary of State.
5. Submit original completed paperwork to: 302 West Washington Street, Room E-018, Indianapolis, IN 46204.
REQUIREMENTS: Professional Corporations MUST include a Certificate of Registration.
INFORMATION CONTAINED ON THIS PAGE IS NOT PART OF THE PUBLIC RECORD.
Name of business
E-mail address of business (SOS use only)
RETURN DOCUMENTS TO:
Name
Street address, line 1
Street address, line 2
City
State
ZIP code
Telephone number
( )
E-mail address (If different from above – SOS use only)
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ARTICLES OF INCORPORATION
DOMESTIC CORPORATION
State Form 4159 (R19 / 6-16)
Approved by State Board of Accounts, 2016
Indiana Code 23-1-21-2
23-1.3-4-2
23-1.5-1-1
23-1-18-3
FILING FEE: $100.00
ARTICLES OF INCORPORATION
The undersigned, desiring to form
a for-profit corporation, pursuant to the Indiana Business Corporation Law,
a benefit corporation, pursuant to the Indiana Benefit Corporation Act,
a professional corporation, pursuant to the Indiana Professional Corporation Act 1983,
executes the following Articles of Incorporation:
ARTICLE I – NAME AND PRINCIPAL OFFICE
Name of the Corporation: (The name must include the word Corporation, Incorporated, Limited, Company or an abbreviation thereof.)
Address of Principal Office (number and street)
City
State
ZIP code
ARTICLE II – REGISTERED OFFICE AND AGENT
Registered Agent: The name and street address of the Corporation’s Registered Agent and Registered Office for service of process are:
Name of Registered Agent (Cannot be the Corporation itself.)
Address of Registered Office (number and street – PO box not accepted)
City
State
IN
ZIP code
Required:
By checking the box, the Signator(s) represent(s) that the Registered Agent named in the application has consented to the appointment
of Registered Agent.
ARTICLE III – AUTHORIZED SHARES
Number of shares the Corporation is authorized to issue: __________________________________________________________________________
If there is more than one class of shares, shares with rights and preferences, list such information as "Exhibit A."
ARTICLE VI – INCORPORATORS (INCORPORATORS MAY NEVER BE AMENDED.)
Name Number and Street or Building City State ZIP code
SIGNATURE
In Witness Whereof, the undersigned being all the incorporators of said Corporation sign these Articles of Incorporation and verify, subject to penalties of
perjury, that the statements contained herein are true, this ______ day of ________________________, 20______.
Signature Printed name
Signature Printed name
Signature Printed name
This instrument was prepared by (name):
Address (number and street, city, state, and ZIP code)