COMMONWEALTH OF KENTUCKY
ALISON
LUNDERGAN GRIMES, SECRETARY OF STATE
_____________________________________________________________________________________________________________________________
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 271B, the undersigned applies to qualify and for that purpose submits the following statements:
Article I: The name of the corporation is_____________________________________________________________________.
Article II: The number of shares the corporation is authorized to issue is ___________________________________________.
Article III: The street address of the corporation’s initial registered office in Kentucky is
_____________________________________________________________________________________________________
Street Address (No Post Office Box Numbers) City State Zip Code
and the name of the initial registered agent at that office is _______________________________________________________.
Article IV: The mailing address of the corporation’s principal office is
_____________________________________________________________________________________________________.
Street Address or Post Office Box Number City State Zip Code
Article V: The name and mailing address of the incorporator is as follows:
_____________________________________________________________________________________________________
Name Street Address or Post Office Box Number City State Zip Code
_____________________________________________________________________________________________________
Name Street Address or Post Office Box Number City State Zip Code
_____________________________________________________________________________________________________
Name Street Address or Post Office Box Number City State Zip Code
Article VI: 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 Printed Name Title Date
I, ______________________________________________________________________, consent to serve as the registered agent on behalf of the corporation.
Print Name of Registered Agent
_______________________________________________ ________________________ ________________________________ _____________________
Signature of Registered Agent Printed Name Title Date
(01/12)
Articles of Incorporation PAI
Profit Corporation
FILING INSTRUCTIONS
ARTICLES OF INCORPORATION
NAME
The corporate name must contain the word “corporation,” “incorporated,” “company,” or “limited,” or the abbreviation “corp.,” “inc.,” “co.,” or “ltd. A corporate
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.
SHARES
The articles of incorporation shall prescribe the classes of shares and the number of shares of each class the corporation is authorized to issue. If there is more
than one class of shares, please do not use form, as articles must set forth a distinguishing designation for each class, and the preferences, limitations and
relative rights.
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 party 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 corporation an officer or the chairman of
the board of directors must sign on behalf of the corporation. 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 member must
sign. The person signing on behalf of the business entity acting as agent must designate the title or capacity in which he or she signs.
PRINCIPAL OFFICE ADDRESS
The principal office is the office (in or out of this state) so designated in writing 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 Document Delivery) will be mailed.
DOCUMENT DELIVERY
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. Alternate address requests must be submitted with each document filed with the
Office of the Secretary of State.
ADDITIONAL ARTICLES OF INCORPRATION 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, etc.), please disregard this form and send a
drafted executed copy of the articles of incorporation according to KRS 271B to the address below.
WHO MAY SIGN
The document must be signed by an incorporator.
NUMBER OF COPIES
When filing online with the One Stop Business Portal system, no copies are required. If filing via mail or in person, one exact copy of the document with the filing
fee must be submitted to the address below. To make a copy of the filing for delivery to the local county clerk’s office, visit www.sos.ky.gov and print a copy from
the organization search tool.
FILING FEE
The filing fee for a business corporation is
1. Articles of Incorporation $40.00
2. Organization Tax Fee for 1,000 shares or less +$10.00
Total Filing Fee $50.00
KRS 136.060 requires every corporation to pay an organization tax based upon the number of shares authorized by the articles of incorporation. The minimum
organization tax fee for one thousand (1,000) shares or less is $10.00. If the corporation is issuing more than 1,000 shares, please contact the Office of the
Secretary of State for total filing fee due. Your check should 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 40602-0718 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 website at www.sos.ky.gov or call 502-564-
3490.
FUTURE DOCUMENTATION REQUIREMENTS AND DEADLINES: The 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 must 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.
(01/12)