Vermont Secretary of State
ARTICLES OF INCORPORATION
of a Vermont Nonprofit Corporation
PLEASE RETURN EVIDENCE OF FILING TO: (Name and Address)
PLEASE REVIEW INSTRUCTIONS PAGE BEFORE BEGINNING.
11B V.S.A. § 2.02 DIVISION OF CORPORATIONS FORM CORP-1(N)
(REV. 12/01/14) Page 1 of 2 CORPORATION REGISTRATION (NONPROFIT)
Business ID:
Processed by:
FOR OFFICE USE ONLY
ARTICLE 1. BUSINESS NAME REQUIRED - MUST INCLUDE A CORPORATE IDENTIFIER SUCH AS “CORP,” “INC,” “CO,” OR “LTD.”- PLEASE SEE INSTRUCTIONS
PAGE FOR COMPLETE LIST OF OPTIONS
Nonprofit Name:
ARTICLE 2. BUSINESS SUBTYPE REQUIRED
a. BENEFIT TYPE: REQUIRED SELECT ONE (1) OF THE FOLLOWING
This corporation is a PUBLIC benefit corporation as defined by 11B V.S.A. § 17.05.
This corporation is a MUTUAL benefit corporation as defined by 11B V.S.A. § 17.05.
b. MEMBER ORGANIZATION STATUS: REQUIRED SELECT ONE (1) OF THE FOLLOWING
This corporation IS a member organization.
This corporation IS NOT a member organization.
ARTICLE 3. BUSINESS DISCRIPTION OPTIONAL SELECT ONE OF (1) THE FOLLOWING
This a Charitable Organization, Church or Religious Organization, or Private Foundation (AS DEFINED BY IRS CODE 501(C)(3))
formed for the purpose of charitable, religious, educational, scientific, literary, testing for public safety, fostering national or
international amateur sports competition, or preventing cruelty to children or animals and will not be participating in political
activity as defined in sections 501(c)(4) (FOR ACTION ORGANIZATIONS) or 527 (FOR POLITICAL ORGANIZATIONS) of the IRS Code.
This is an Action Organization (AS DEFINED BY IRS CODE 501(C)(4))formed for one or more of the purposes that would otherwise
qualify under IRS CODE 501(C)(3) exemption status, except that it MAY participating in political activity by seeking legislation
germane to the organization's programs for the purpose of promoting social welfare.
This is a Political Organization (AS DEFINED BY IRS CODE 527) formed for the purpose of influencing or attempting to influence
the selection, nomination, election or appointment of an individual to a federal, state, or local public office or office in a
political organization.
Other: NAICS CODE (PREFERED) OR STATEMENT OF PRIMARY GOODS OR SERVICES TO BE PROVIDED UNDER THIS BUSINESS NAME
ARTICLE 4. INITIAL PRINCIPAL BUSINESS OFFICE REQUIRED
a. Physical Address: NO PO BOX
City/Town: State: VT ZIP: -
b. Mailing Address:
City/Town: State: VT ZIP: -
PRINT
RESET
Vermont Secretary of State
ARTICLES OF INCORPORATION
of a Vermont Nonprofit Corporation
11B V.S.A. § 2.02 DIVISION OF CORPORATIONS FORM CORP-1(N)
(REV. 12/01/14) Page 2 of 2 CORPORATION REGISTRATION (NONPROFIT)
ARTICLE 5. INITIAL DIRECTORS OPTIONAL AT THIS TIME (REQUIRED ON 1
ST
BIENNIAL REPORT) IF PROVIDED HERE, MUST PROVIDE A MINIMUM OF 3
a. Director Name:
Address:
City/Town: State: ZIP: -
E-Mail Address:
b. Director Name:
Address:
City/Town: State: ZIP: -
E-Mail Address:
c. Director Name:
Address:
City/Town: State: ZIP: -
E-Mail Address:
CHECK IF APPLICABLE:
This corporation will have more than three (3) initial directors.
IF SELECTED MUST ATTACH A COMPLETE LIST WITH SIGNATURES OF ALL ADDITIONAL INITIAL DIRECTORS
ARTICLE 6. INITIAL REGISTERED AGENT REQUIRED
a. Name:
b. Physical Business Address: AGENT’S NORMAL LOCATION DURING NORMAL BUSINESS HOURS.
Street Address NO PO BOX
City/Town: State: VT ZIP: -
c. Mailing Address:
City/Town: State: VT ZIP: -
d. Email:
ARTICLE 7. INCORPORATOR(S) REQUIRED SELECT ONE (1) OF THE FOLLOWING
The directors listed above in Article 5 are also the incorporators.
The incorporator, who is not an initial director of this Nonprofit Corporation, is as follows:
Name:
Address:
City/Town: State: ZIP: -
E-Mail Address:
ARTICLE 8. EFFECTIVE DATE OF THESE ARTICLES OPTIONAL MAY BE POST-DATED UP TO 90 DAYS FROM DATE OF RECEIPT
CERTIFICATION. REQUIRED-MUST BE SIGNED BY ALL DIRECTORS AND/OR INCORPORATOR(S) LISTED ABOVE IN ARTICLES 5 & 8 (11B V.S.A. § 2.02(C))
We hereby certify, under penalty of law (11B V.S.A. §1.29), as the initial directors and/or incorporator(s) of this Nonprofit (as
listed above), that the above information is accurate; and that it is provided in duplicate with a Check or Money Order made
payable to "VT SOS" in the amount of $125.00.
Printed Name of Initial Director/Incorporator Signature Date
Printed Name of Initial Director/Incorporator Signature Date
Printed Name of Initial Director/Incorporator Signature Date
Printed Name of Initial Director/Incorporator Signature Date
PLEASE REVIEW INSTRUCTIONS PAGE ON REVERSE BEFORE FILING.
Vermont Secretary of State
ARTICLES OF INCORPORATION
of a Vermont Nonprofit Corporation
11B V.S.A. § 2.02 DIVISION OF CORPORATIONS FORM CORP-1(N)
(REV. 12/01/14) Instructions Page CORPORATION REGISTRATION (NONPROFIT)
SUBMISSION INSTRUCTIONS
a. This form must be filed in duplicate (1 original + 1 copy or-- 2 originals) with a check or money order, payable to “VT SOS,” in the amount of $125.00, and a
self-addressed stamped envelope.
b. This form can ONLY be accepted by Mail or In-person at:
Vermont Secretary of State
Corporations Division
128 State Street
Montpelier, VT 05633-1104
c. Please allow 7-10 business days, or more, from the day that this form received in our office, for processing and (if approved) for this business appear on the
website at www.vtsosonline.com, and for evidence of filing to be returned.
***THIS FILING IS NOW AVAILABLE ONLINE***
This form CANNOT be accepted by Phone, Fax, or E-mail; however, this filing is now available online:
o If you wish to submit this filing electronically, DO NOT fill out this form, please file online at
https://www.vtsosonline.com/online/Account?referrer=BF.
o
Payment for this form also CANNOT be accepted by credit card or e-check (ACH); however, payment by credit card or e-check
(ACH) is available by filing online:
o If you wish to submit payment by credit card or e-check (ACH), DO NOT fill out this form, please file online at
https://www.vtsosonline.com/online/Account?referrer=BF.
Online filing normally takes 3-5 business days or less.
FORM INSTRUCTIONS
Article 1. Required. A corporate name, in accordance with 11B V.S.A. § 4.01:
a. must contain the word "corporation," "incorporated," "company," or "limited," or the abbreviation "corp.," "inc.," "co.," or
"ltd.," or words or abbreviations of like import in another language;
b. may not contain language stating or implying that the corporation is organized for a purpose other than that permitted by 11B
V.S.A. § 3.01of this title and its articles of incorporation;
c. will not have the word "cooperative" or any abbreviation thereof as part of its name; and
d. will not include any word not otherwise authorized by law.
e. will be, based upon the records of the secretary of state, distinguishable from, and not the same as, deceptively similar to, or
likely to be confused with or mistaken for any name granted, registered, or reserved under this chapter, or the name of any other
entity, whether domestic or foreign, that is reserved, registered, or granted by or with the secretary of state.
Article 2. a. Required. Must Select either PUBLIC or MUTAL benefit organization.
All Nonprofit Corporations are classified as either a public benefit or a mutual benefit corporation as follows (11B VS. § 17.05):
(1) any corporation classified by statute as a public benefit corporation or a mutual benefit corporation is the type of
corporation so classified by statute;
(2) any corporation which does not come within subdivision (a) of this section but which is recognized as exempt under
section 501(c)(3) of the Internal Revenue Code, or any successor section, is a public benefit corporation;
(3) any corporation which does not come within subdivision (a) or (b) of this section, but which is organized for a public or
charitable purpose and which upon dissolution must distribute its assets to the United States, a state or a person which is
recognized as exempt under section 501(c)(3) of the Internal Revenue Code, or any successor section, is a public benefit
corporation; and
(4) any corporation which does not come within subdivision (1), (2) or (3) of this section is a mutual benefit corporation.
b. Required. Must select either IS or IS NOT a member organization.
Article 3. Optional.
Article 4. Required. Principal Office means the location where the business of the corporation is primarily carried out, or the location where
the corporate records are primarily kept.
Article 5 a. If provided, must provide the names and residences of at least 3 initial directors.
Note: 1st Biennial Report is due the between 1 January and 1 April of the 1
st
Calendar Year immediately following registration, then every
2 years thereafter.
b. Must attach and provide continuation sheet if more than three (3) initial directors with names, addresses, and signatures.
Article 6. a. The registered agent must be one (1) of the following (11A VS. § 5.01):
(1) An individual who resides in this state (this may include one of the directors or incorporator listed on this form).
(2) A foreign or domestic, profit or nonprofit, corporation in Good Standing with the Vermont Secretary of State.
b. The Registered Office must be identical to the Registered Agent’s business address.
Article 7. Required.
Article 8. Optional. The effective date of these articles may be delayed up to 90 days from date of receipt. If blank or dated prior to date of
receipt - effective date will be date of receipt.
Certification. Required. All directors and/or incorporators named in the articles must sign the articles. (11B V.S.A. § 2.02(c))
Information on this application must be current as of the date this registration is filed.
All required information must be provided. If not, the secretary of state will promptly notify the filer in writing and return this filing
to him/her for correction.
For Questions, please contact the Corporations Division at: corps@sec.state.vt.us
or by phone at (802) 828-2386