Important: Read instructions before completing form
Non-Refundable Processing Fee: $70.00
1. Name of Corporation:
2. Purpose:
3. Shares:
Type:
Number of Shares:
Type:
Number of Shares:
4. The name of the Registered Agent (Individual or Business Entity or Commercial Registered Agent):
____________________________________________________________________________________________________________________________________________
The address must be listed if you have a non-commercial registered agent. See instructions for further details.
Address of the Registered Agent: ________________________________________________________________________________________________________________
Utah Street Address Required, PO Boxes can be listed after the Street Address
City: State UT Zip:
5. Name, Signature and
Address of Incorporator
(attach additional page if there
is more than 1 incorporator)
_____________________________________________________________________________
Name
____________________________________________________________________________________________________________________________________
Address City State Zip
Signature: Date:
6. Principal Address:
_____________________________________________________________________________
Address City State Zip
Please list the officers and directors of the corporation. Must have at least 1 officer and 1 director within the 1
st
year of the corporation.
_________________________________________________________________ __________________________________
Name Position(s)
_________________________________________________________________________________________________________________________________________________________________
Address City State Zip
_________________________________________________________________ __________________________________
Name Position(s)
_________________________________________________________________________________________________________________________________________________________________
Address City State Zip
_________________________________________________________________ __________________________________
Name Position(s)
_________________________________________________________________________________________________________________________________________________________________
Address City State Zip
_________________________________________________________________ __________________________________
Name Position(s)
_________________________________________________________________________________________________________________________________________________________________
Address City State Zip
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you
may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.
Optional Inclusion of Ownership Information: This information is not required.
Is this a female owned business? Yes No
Is this a minority owned business? Yes No If yes, please specify:
State of Utah
Department of Commerce
Division of Corporations & Commercial Code
Articles of Incorporation (Benefit Corporation)
This form must be type written or computer generated.
Select or type in stock type
What is a commercial registered agent?
Select or type in position
Select or type in position
Select or type in position
Select or type in position
Select/Type the race of the owner here
Mailing/Faxing Information:
www.corporations.utah.gov/contactus.html
www.corporations.utah.gov
