Fill and Sign the Check One Yes No If Yes Provide Ubi Form

Articles of Incorporation - Nonprofit Pg 1 | Revised 7.2018 This Box For Office Use Only Washington Nonprofit Corporation □ Filing Fee $30 □ Filing Fee with Expedited Service $80 ARTICLES OF INCORPORATION PURPOSE OF CORPORATION: Purpose for which the nonprofit is organized: ( if necessary, attach additional information) _________________________________________________________________________________________________ _________ ________________________________________________________________________________________ _________ _____________________________________________________________________________________ Any other provisions: ______________________________________________________________________________ RCW 24.03 PERIOD OF DURATION: P lease check ONE of th e followin g □ This Corporation shall have a perpetual duration (default) □ This Corporation shall have a duration of _ ______ years. □ This Corporation shall expire on ________________ Do you already have a UBI Number? (Check one) □ Yes □ No If Yes, provide UBI # _________________________ If No, a new UBI# will be issued to you upon successful completion of the filing. If you have previously filed with another state agency (for example, the Department of Revenue, the Department of Labor and Industries, or the Employment Security Department), you may already have a 9 digit UBI Number that you can enter above. Please do not enter the UBI Number of a Sole Proprietorship or General Partnership. If you do not have a UBI Number, please select “no” above and continue with the filing. For name requirements review the following RCW(s): Nonprofit Business Corporation - RCW 23.95.305 (2) NAME OF CORPORATION: Does the entity have a name reserved? (Check one) □ Yes □ No If Yes, provide the Name Reservation Number and Name If No, provide only the name Reservation Number: _________________ Name: ___________________________________________________________________________________________ (360) 725 - 0377 | www.sos.wa.gov/corps 801 Capitol Way S, Olympia, WA 98504 -0234 Articles of Incorporation - Nonprofit Pg 2 | Revised 7.2018 REGISTERED AGENT: Please complete ONE type of Registered Agent below, be sure to include the name below the checked box. Then continue to provide the required street address. Mailing address if needed. Phone: ________________________ Email: _________________________________________ CONSENT TO SERVE AS REGISTERED AGENT - REQUIRED FOR ALL TYPES I hereby consent to serve as Registered Agent in the State of Washington for the named entity. I understand it will be my responsibility to accept service of process, notices, and demands on behalf of the entity; to forward mail to the entity; and to immediately notify the Office of the Secretary of State if I resign or change the Registered Office Address. __________________________________ _________________________________ ___ _________________ Signature of Registered Agent Printed Name/Title Date Country : United States State : Washington Address : ______________________________________ _________ ______________________________________ Zip : __________ City: ___________________________ Country: United States State : Washington Address : ______________________________________ _________ ______________________________________ Zip : __________ City: ___________________________ Registered Agent Mailing Address (optional) □ Check if mailing address is the same as street address Registered Agent Street Address (required) (Must be a physical address No PO Box or PMB) □ Office or Position ___________________________ List the Office or Position serves as agent. (Only if using the specific office or position as the registered agent, no matter who holds the position like: Secretary, Member or Treasurer.) □ Entity ____________________________ Name of a Non-commercial Registered Agent. (Any business not registered as a Commercial Registered Agent.) □ Individual _____________________________ First and last name of a Non-commercial Registered Agent. (Any person not registered as a Commercial Registered Agent.) Is the Registered Agent a Commercial Registered Agent? □ Yes □ No If Yes , pr ovid e t h e n am e of t he C omm er cial Register ed Agent : __________________________________ A Commercial Registered Agent is an entity or individual that is registered with the Office of the Secretary of State to receive legal documents on behalf of a corporation. A Commercial Registered Agent has the entities/individual ’s address on record with the office. A Registered Agent consent is still required for a Commercial Registered Agent located below. If No , plea se cont in ue b elow Articles of Incorporation - Nonprofit Pg 3 | Revised 7.2018 EFFECTIVE DATE: P lea se check ONE of t h e followin g: □ Date of filing □ Specify a Date __________________ cannot be more than 90 days following received date INITIAL BOARD OF DIRECTORS: Name and addresses of each initial director are required, attach additional sheets if necessary . Name: ________________________________ Address: ______________________________________________ City _________________________ State ____________ Zip _____________ Name: ________________________________ Address: ______________________________________________ City _________________________ State ____________ Zip _____________ Name: ________________________________ Address: ______________________________________________ City _________________________ State ____________ Zip _____________ INCORPORATOR INFORMATION: Name, address, and signature required. Attach additional sheets if necessary. This record is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct. Address: ______________________________________________________________________________________ City _________________________ State ____________ Zip _____________ _________ ____________________________ ____ _______________________________ ____ ________________ Signature of Executor/Incorporator Printed Name/Title Date DISTRIBUTION OF ASSETS: In the event of voluntary dissolution, the net assets will be distributed as follows: ( if necessary, attach additional information) _________________________________________________________________________________________________ _______________________________________________________________________________________________ RETURN ADDRESS FOR THIS FILING: (Optional) This address will be sent document( s) regarding this specific filing in addition to document (s) being sent to the Registered Agent ’s street/mailing address. Attention to: ___________________________________________ Email: ________________________________________________ Address : _______________________________________________________________________ City __________________________ State __________ Zip ____________