FOURTH: (Check the appropriate statement)
The corporation is not formed to engage in any activity or for any purpose requiring consent
or approval or any state official, department, board, agency or other body. No consent or
approval is required.
The corporation is formed to engage in an activity or for a purpose requiring consent or
approval of a state official, department, board, agency or other body. Such consent or approval
is attached.
FIFTH: The corporation is a: charitable corporation non-charitable corporation under
Section 201 of the Not-for-Profit Corporation Law.
SIXTH: The office of the corporation is to be located in the County of ,
State of New York.
SEVENTH: The names and addresses of the three initial directors of the corporation are:
(A minimum of three are required)
Name:
Address:
Name:
Address:
Name:
Address:
EIGHTH: The Secretary of State is designated as agent of the corporation upon whom process
against it may be served. The address to which the Secretary of State shall mail a copy of any
process accepted on behalf of the corporation is:
DOS-1511-f (Rev. 02/16) Page 2 of 4