Fill and Sign the Articles of Incorporation Professional Form

Important: Read instructions before completing form Non-Refundable Processing Fee: $70.00 1. Name of Corporation: 2. Purpose: 3. Profession: Type 1: Shares: 4. Shares: Type 2: Shares: 5. Who/What is the name of the Registered Agent (Individual or Business Entity or Commercial Registered Agent)?: ____________________________ _________________________________________________ The address must be listed if you h ave a non-commercial registered agent. S ee 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: 6. Name and Address of Officer(s) , Director(s) and Shareholder(s): Must have at least 1 officer, must have at least 1 director, and must list at least 1 shareholder. (attach additional pages if needed) _____________________________________________________ ______________________________ Nam e P osit io n (s ) __________________________________________________________________________________________ A ddress C it y S ta te Z ip _____________________________________________________ ______________________________ N am e P osit io n (s ) __________________________________________________________________________________________ A ddress C it y S ta te Z ip _____________________________________________________ ______________________________ N am e P osit io n (s ) __________________________________________________________________________________________A ddress C it y S ta te Z ip _____________________________________________________ ______________________________ N am e P osit io n (s ) __________________________________________________________________________________________ A ddress C it y S ta te Z ip 7. Name, Signature and Address of Incorporator (attach additional page if there is more than 1 incorporator) The Articles of Incorporation must be signed by Incorporator(s). Under penalties of perjury, I declare that this Articles of Incorporation has been examined by me and is, to the best of my knowledge and belief, true, correct and complete _________________________________________________________________ N am e ________________________________________________________________________________________________________________ A ddress C it y Sta te Z ip S ig n atu re: D ate : 8. Principal Address: ( Optional) __________________________________________________________________________________________________________________________ Address City State Zip Under GRAMA {63-2-201}, all registration information mainta ined by the Division is classified as public record. 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 Incor poration (Professional ) This form must be type written or computer generated. - Select one - - Select one - 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