ARTICLES OF INCORPORATION FOR A NONPROFIT CORPORATION
State Form 4162 (R10 / 1-03) Corporate Form No. 364-1 (October 1984)
Approved by State Board of Accounts 1995
ARTICLES OF INCORPORATION
The undersigned incorporator or incorporators, desiring to form a corporation (hereinafter referred to as the "Corporation") pursuant to the
provisions of the Indiana Nonprofit Corporation Act of 1991 (hereinafter referred to as the "Act"), execute the following Articles of
Incorporation.
Name of the Corporation: (the name must include the word "Corporation", "Incorporated", "Limited", "Company" or one of the abbreviations thereof):
ARTICLE II - Purpose (optional)
The purposes for which the Corporation is formed are:
ARTICLE III - Type of Corporation (check only one)
public benefit corporation, which is organized for a public or charitable purpose;
religious corporation, which is organized primarily or exclusively for religious purposes; or
mutual benefit corporation (all others).
The Corporation is a:
ARTICLE IV - Registered Agent and Registered Office
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
Principal Office: The address of the principal office of the Corporation is:
ZIP code
Indiana
CityPost office address
Address of Registered Office (street or building)
ZIP code
Indiana
City
NOTES: 1. Nonprofit corporations must qualify with the Internal Revenue Service and the Indiana Department of
Revenue. It is strongly suggested you do not complete or file this form before contacting both agencies.
2. Article VII must be completed appropriately. Please see (1) above.
TODD ROKITA
SECRETARY OF STATE
CORPORATIONS DIVISION
302 W. Washington St., Rm. E018
Indianapolis, IN 46204
Telephone: (317) 232-6576
ARTICLE I - Name and Principal Office
ARTICLE V - Membership
Indicate if Corporation will have members:
Yes No
(Continued on the reverse side)
Indiana Code 23-17-3-2
FILING FEE: $30.00
INSTRUCTIONS: 1. Use 8 1/2” x 11” white paper for attachments.
2. Present original and one (1) copy to the address in the upper right corner of this form.
3. Please type or print.
4. Please visit our office on the web at www.sos.in.gov.
