Fill and Sign the 1401 West Capitol Avenue Ste Form

CHARITABLE ORGANIZATION REGISTRATION PROCESS Step 1: File Articles of Incorporation Arkansas Secretary of State Business and Commercial Services 1401 West Capitol Avenue, Ste. 250 Victory Building Little Rock, AR 72201 501-682 -3409 TOLL FREE 888-233-0325 Step 2: Apply f or exempt status (Must have articles filed to complete Step 2) Internal Revenue Service TE/GE Division, Customer Service P.O. Box 2508 Cincinnati, OH 45201 877 -829 -5500 Step 3: Register for solicitation purposes (annual renewal) (Must have IRS Tax Determination letter for Step 3) Attorney General’s Office Attn: Nonprofit Information 323 Center Street, Ste. 200 501 -682 -1109 TOLL FREE 800-482-8982 Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock 72201 501 682 34 09 or 1 888 233 0325 •www.sos.arkansas.gov A rk an sa s Se cre ta ry o f S ta te 1401 W. Capitol, Suite 250, Little Rock, AR 72201 M ark M artin 501-682-3409 • www.sos.arkansas.gov $50.00 Filling Fee payable to Arkansas Secretary State NPD-0 1-501 Rev. 01/16 Articles of Incorporation – Domestic Nonprofit 501(c)(3) Compliant Language (PLEASE TYPE OR PRINT CLEARLY IN INK) We, the undersigned, acting as incorporators of a corporation under the Act 1147 of 1993 (the Arkansas Nonprofit Act), Adopt the following Articles of Incorporation of such corporation. 1. The name of the corporation: ______________________________________________________________________________ 2. This corporation is: (check one of the following)  Public – Benefit Corporation  Mutual – Benefit Corporation  Religious Corporation 3. Will this corporation have members?  Yes  No 4. Power of the corporation: (select A or B)  A. IRS (501)(c)(3) suggested language: 10/29/2007 No part of the net earnings of the corporation shall inure to the benefit, or be distributable to its members, trustees, officers, or other private persons, except that the corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes set forth in previous articles hereof. No substantial part of the activities of the corporation shall be the carrying on of propaganda, or otherwise attempting to influence legislation, and the corporation shall not participate in, or interve ne in (including the publishing or distribution of statements) any political campaign on behalf or in opposition to any candidate for public office. Notwithstanding any other provision of these articles, the corporation shall not carry on any other activities not permitted to be carried on (a) by a corporation exempt from federal income tax under section 51(c)(3) of the Internal Revenue Code, or the corresponding section of any future federal tax code, or (b) by a corporation, contributions to which are deductible under section 170(c)(2) of the Internal Revenue Code, or the corresponding section of any future federal tax code.  B. Other as described: _________________________________________________________________________________ ________________________________________________________________________________________________________ 5. The purpose for which this corporation is organized: (select A or B)  A. IRS (501)(c)(3) suggested language: 10/29/2007 Said corporation is organized exclusively for charitable, religious, educational, and scientific purposes, including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under 501(c)(3) of the International Revenue Code, or the corresponding section of any future federal tax code.)  B. Other as described: _________________________________________________________________________ 6. Distribution of assets on dissolution: (select A or B)  A. IRS (501)(c)(3) suggested language: 10/29/2007 Upon the dissolution of the corporation, assets shall be distributed for one or more exempt purposes within the meaning of section 501(c)(3) of the Internal Revenue Code, or corresponding section of any future federal tax code, or shall be distributed to the federal government, or to a state or local government, for a public purpose. Any suc h assets not so disposed of shall be disposed of by a Court of Competent Jurisdiction of the county in which the principal office of the corporation is then located, exclusively for such purposes or to such organization or organizations as said Court shall determine which are organized and operated exclusively for such purposes.  B. Other as described: _________________________________________________________________________________ ________________________________________________________________________________________________________ 7. Corporation’s initial registered agent: _______________________________________________________________________ Name Street Address ________________________________________________________________________________________________________ Street Address Line 2 City, State Zip A rk an sa s S e cre ta ry of S ta te 1401 W. Capitol, Suite 250, Little Rock , AR 72201 M ark M art in 501-682-3409 • www.sos.arkansas.gov $50.00 Filling Fee payable to Arkansas Secretary State NPD-0 1-501 Rev. 01/168. Incorporator information: (Use additional pages if necessary) ________________________________________ ____________________________________________ ____________ Name Signature Date ________________________________________________________________________________________________________ Address City, State Zip _________________________________________ ____________________________________________ ____________ Name Signature Date ________________________________________________________________________________________________________ Address City, State Zip _________________________________________ ____________________________________________ ____________ Name Signature Date ________________________________________________________________________________________________________ Address City, State Zip Optional: You may attach any of the following if applicable to this corporation. The names and addresses of the initial directors Other provisions as deemed necessary Notice  Section 501(c)(3) tax exempt status is determined by the Internal Revenue Service. The filing of articles of incorporation with the Arkansas Secretary of State does not confer or guarantee tax exempt status by the IRS. $50.00 Filling Fee payable to Arkansas Secretary State NPD-0 1-501 Rev. 01/16 Annual Report – Contact Information Nonprofit Corporation PLEASE TYPE OR PRINT CLEARLY IN INK JURISDICTION (SELECT ONE) □DOMESTIC □ FOREIGN In order for this entity to receive its annual reporting form, please complete and file with the Office of the Secretary of State at the time of filing. _____________________________________________________ __________________________________________________ Entity name as used in Arkansas Contact Person _____________________________________________________ __________________________________________________ Street Address or Post Office Box Number City, State Zip _____________________________________________________ __________________________________________________ Telephone Number E-mail Address NOTE: Annual Reports will be due on or before August 1 st the year following filing or qualification in this state. I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Executed this ___________ day of _____________ , __________________ . _____________________________________________________ __________________________________________________ Signature Authorized Officer (Type or Print) A rk an sa s S e cre ta ry of Sta te 1401 W. Capitol, Suite 250, Little Rock , AR 72201 M ar k M artin 501-682-3409 • www.sos.arkansas.gov