Fill - Free fillable STATE OF ALABAMA DOMESTIC NONPROFIT CORPORATION CERTIFICATE OF (State of Alabama) PDF form

STATE OF ALABAMA

DOMESTIC NONPROFIT CORPORATION

CERTIFICATE OF FORMATION

DNP Corp Cert of Formation - 01/2021 page 1 of 3

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 Secretary of State.

The information required in this form is required by Title 10A.

INSTRUCTIONS: Mail one (1) signed original and one (1) copy of this completed form along with a self-addressed,

stamped envelope with the filing fee of $200.00 (credit card, check, or money order) to the Secretary of State, Business

Services, P.O. Box 5616, Montgomery, Alabama 36103-5616. The Secretary of State shall pay the sum of $100.00 to

the county treasurer for the county in which the office of the initial registered agent for that entity is located. The

Certificate will not be registered if the credit/debit card does not authorize and will be removed from the index if the

check is dishonored ($30 fee).

This form must be typed.

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

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 (only one agent):

Street (No PO Boxes) address of Registered Office (must be located in Alabama):

*COUNTY of above address:

Mailing address in Alabama of Registered Office (if different from street address):

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 - 01/2021 Page 2 of 3

6. 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.

7. Period of duration shall be perpetual unless stated otherwise by an attached exhibit.

8. 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).

9. 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):

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):

DOMESTIC NONPROFIT CORPORATION CERTIFICATE OF FORMATION

DNP Corp Cert of Formation - 01/2021 Page 3 of 3

Attach listing if more Directors need to be added (type “see attached” in the name line for the first Director on

this form).

10. 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.

*County of Registered Agent is requested in order to determine distribution of County filing fees

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

/

Domestic Formation Credit Card/Prepaid Account Payment Slip – 1/2021

Secretary of State Credit Card or Prepaid Payment Option/Return/Hold Sheet: If you do not send

an acknowledgement copy and a pre-addressed postage paid envelope with the filing you will not receive

a receipt from the Secretary of State’s Office. Hold for pickup request 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 (generally these fees are between 2% and 5% of the total charge).

Information MUST be typed or filing will be returned without review.

Entity Name:

Service Requested: X $200.00 Formation filing fee

Hold at Front Desk for Pick-up by:

There is no notification service/call for pick-up. (Service providers who run couriers for pick-up)

Choose one of the following:

Check/money order is attached-Please make one check payable for each filing to the Alabama

Secretary of State. Do not use one check for multiple filings.

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

✔

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