STATE OF ALABAMA
DOMESTIC NONPROFIT CORPORATION
CERTIFICATE OF FORMATION
DNP Corp Cert of Formation - 01/2020 page 1 of 3
(For County Probate Office Use Only)
PURPOSE: In order to form a Nonprofit Corporation under
Section 10A-1-3.05 and 10A-3-3.02 of the Code of Alabama
1975 this Certificate Of Formation and the appropriate filing
fees must be filed with the Office of the Judge of Probate in the
county where the corporation’s initial registered office is
located. The information required in this form is required by
Title 10A.
INSTRUCTIONS: Mail one (1) signed original and two (2)
copies of this completed form and the appropriate filing fees to
the Office of the Judge of Probate in the county where the
corporation’s registered office is/will be located. Contact the Judge of Probate’s Office to determine the county
filing fees. Make a separate check or money order payable to the Secretary of State for the state filing fee
of $100.00 and the Judge of Probate’s Office will transmit the fee along with a certified copy of the Certificate
to the Office of the Secretary of State within 10 days after the Certificate is recorded. You may pay the
Secretary of State fees by credit card if the county you are filing in will accept that method of payment (see
attached). Your filing will not be indexed if the credit card does not authorize and will be removed from the
index if the check is dishonored ($30.00 fee).
This form must be typed or laser printed.
1. The name of the corporation:
2. A copy of the Name Reservation certificate from the Office of the Secretary of State must be
attached.
3. This nonprofit corporation (MUST check one):
has Members or has no Members
This form was prepared by: (type name and full address)
(For SOS Office Use Only)
DOMESTIC NONPROFIT CORPORATION CERTIFICATE OF FORMATION
DNP Corp Cert of Formation - 01/2020 Page 2 of 3
4. Street (No PO Boxes) address of principal office of the corporation:
Mailing address of principal office (if different from street address):
5. The name of the Registered Agent:
6. Street (No PO Boxes) address of Registered Agent (if different from principal office address):
Mailing address of Registered Agent (if different from street address):
7. Purpose for which corporation is formed:
; the
purpose includes the transaction of any lawful business for which nonprofit corporations may be
incorporated in Alabama under Title 10A, Chapter 3 of the Code of Alabama.
8. Period of duration shall be perpetual unless stated otherwise by an attached exhibit.
9. The name(s) of the Incorporator(s):
Street (No PO Boxes) address of Incorporator(s):
Mailing address of Incorporator(s) – (if
different from street address):
Attach a listing if more Incorporators need to be added (type “see attached” in the name line).
10. The number of Directors constituting the initial Board of Directors is . The initial Directors names
and addresses must be listed in this Certificate of Formation.
Director’s Name:
Street (No PO Boxes) address of Director:
Mailing address of Director(s) - (if different
from street address):
DOMESTIC NONPROFIT CORPORATION CERTIFICATE OF FORMATION
DNP Corp Cert of Formation - 01/2020 Page 3 of 3
Director’s Name:
Street (No PO Boxes) address of Director:
Mailing address of Director(s) - (if different
from street address):
Director’s Name:
Street (No PO Boxes) address of Director:
Mailing address of Director(s) - (if different
from street address):
Attach listing if more Directors need to be added (type “see attached” in the name line for the first
Director on this form).
11. Unless an attachment to this Certificate of Formation provides that a change in the number of directors shall
be made only by amendment to the Certificate of Formation, a change in the number of directors made by
amendment to the bylaws shall be controlling. In all other cases, whenever a provision of the Certificate of
Formation is inconsistent with a bylaw, the provision of the Certificate of Formation shall be controlling.
Attached are any other provisions that are not inconsistent with law relating to organization, ownership,
governance, business, or regulation of the internal affairs of the nonprofit corporation, including any
provisions for distribution of assets on dissolution or final liquidation.
Date (MM/DD/YYYY) Signature as required by 10A-1-3.04
Typed Name of Above Signature
Typed Title/Capacity to Sign under 10A-1-3.04
/
/
DNP Corp Dissolution01/2020
Secretary of State Payment Option Sheet: If you do not send an acknowledgement copy and a pre-
addressed postage paid envelope with the filling, you will not receive a credit card or prepaid account
receipt from the Secretary of State’s Office. If you opt for the email return of documents the credit card
receipt will be emailed with the document. Hold for pickup request – acknowledgement copy will have
the receipt attached. The document of record will be stamped showing the receipt of the filing fee but will
not show convenience fees which will be charged; (generally these fees are between 2% and 5% of the
total charge).
Information MUST be typed.
Entity Name:
AL Entity ID #, required for all filings other than formation/registration: - (ex: 000-000)
Service Requested: X $100.00 DNP Certificate of Formation filing fee
_____$100.00 Expedite fee
Hold at Front Desk for Pick-up by:
(Service providers who run couriers for pick-upwe do not have a call for pick-up service)
Return via email (only one email):
No paper copy will be sent if email is provided.
Check is attached - Please make one check payable for the total amount of the fees to the
Alabama Secretary of State.
Charge fees to prepaid account: Account Number
and Account Name
Typed Name & Signature of Authorized Individual on Account
Credit Card Type: (Visa, MC, Discover & AmEx)
Card Number: Expiration Mo/Yr: / (MM/YY)
Card Holder Name:
Complete Billing Address:
Street or PO
City State Zip
Signature of Card Holder:
MUST be Signature of Card Holder