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Fill and Sign the Corporation Division Secretary of State Sosoregongov Form

Fill and Sign the Corporation Division Secretary of State Sosoregongov Form

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Articles of Incorporation - Business/Professional Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - sos.oregon.gov/business - Phone: (503) 986-2200 In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record. We must release this information to all parties upon request and it will be posted on our website. For office use only REGISTRY NUMBER: Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary. 1. NAME OF CORPORATION: 3. REGISTERED AGENT: (Individual or entity that will accept legal service for this business) 4. REGISTERED AGENT'S PUBLICLY AVAILABLE ADDRESS: (Must be an Oregon Street Address , which is identical to registered 5. ADDRESS WHERE THE DIVISION MAY MAIL NOTICES: 7. IF RENDERING A LICENSED PROFESSIONAL SERVICE OR SERVICES, DESCRIBE THE SERVICE(S) BEING RENDERED: (PROFESSIONAL CORPORATION ONLY) ORS 58.015(5)(m) 8. INDEMNIFICATION: The corporation elects to indemnify its directors, officers, employees, agents for liability and related expenses under ORS 58.185 or 60.387 - 60.414. 13. EXECUTION/SIGNATURE OF EACH PERSON WHO IS FORMING THIS BUSINESS: (Incorporator) I declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, fraudulently obscure, fraudulently alter or otherwise misrepresent the identity of the person or any officers, directors, employees or agents of the corporation. This filing has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete. Making false statements in this document is against the law and may be penalized by fines, imprisonment or both. Printed Name: Title: CONTACT NAME : (To resolve questions with this filing) PHONE NUMBER : (Include area code) FEES Required Processing Fee $100 Processing Fees are nonrefundable. Please make check payable to "Corporation Division". Free copies are available at sos.oregon.gov/business using the Business Name Search program. Articles of Incorporation - Business/Professional Corporation (12/18) NOTE: For a BUSINESS CORPORATION, the name must contain the word "Corporation", "Company", "Incorporated", or "Limited" or an abbreviation of one of such words. For a PROFESSIONAL CORPORATION, the name must contain the words "Professional Corporation", or abbreviations thereof, i.e., "P.C.", or Prof. Corp". 12. BUSINESS CORPORATION PROFESSIONAL CORPORATION(Complete items 1, 2, 3, 4, 5, 6, 9 and 12. Items 7, 8, 10 and 11 are optional.) (Complete all Items. Note: Item 8, 10 and 11 are optional.) OPTIONAL PROVISIONS: ( Attach a separate sheet if necessary.) The Corporation is a benefit company subject to ORS 60.750 - 60.770. (additional requirements apply) BENEFIT COMPANY: SEE ATTACHED agent's office.) Signature: 9. INDIVIDUAL WITH DIRECT KNOWLEDGE List the name and address of at least one individual who is a director, or controlling shareholder of the corporation or an authorized representative with direct knowledge of the operations and business activities of the corporation. 6. NUMBER OF SHARES: (At least one share must be listed.) 2. PRINCIPAL OFFICE: (Must be a physical street address) WHO IS FORMING THIS BUSINESS? (INCORPORATORS) List names and addresses of each incorporator. Attach a separate sheet if necessary. LIST INITIAL PRESIDENT AND SECRETARY NAMES AND ADDRESSES (MAY BE REQUIRED BY YOUR BANK) 11. INITIAL SECRETARY (Name and Address) 10. INITIAL PRESIDENT (Name and Address) Print Form Reset Form

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