Fill and Sign the Domestic Professional Corporation Form

08-424 (Rev. 01/30/2013) Articles of Incorporation Instructions ARTICLES OF INCORPORATION Domestic Professional Corporation AS 10.45.010 & 10.06.208 Filing Fee: $250.00 INSTRUCTIONS (Please retain for your records): Refer to Alaska Statutes 10.45.010 and 10.06.208. If you need assistance in completing your filing, it is advised that you seek legal counsel. Please be aware that this filing will become public information. ARTICLE 1: Name of Corporation The corporate name of a professional corporation shall contain the last name of one or more of its shareholders, unless the regulations of a particular regulating board or the ethics of a profession permit the use of a corporate name which does not include the sur name of any present or former shareholders. Please contact your specific licensing board for the requirements here: www.commerce.alaska.gov/occ . The corporate name shall be ended by the word “Corpor ation”, “Company”, “Incorporated”, “Limited,” “A Professional Corporation,” or an abbreviation of one of these, such as “P.C”. ARTICLE 2: Disclosure of Corporate Purposes The purpose describes activities of the professional corporation at the time of the initial filing. In addition to purpose, also include the NAICS code where indicated. NAICS code may not conflict with the purpose listed. A complete list of NAICS codes is available online under the Corporations Section or our website. NOTE: The following professions are considered a professional se rvice, if the service you provide is not listed you cannot incorporate as a professional corporation: Acupuncturist Legal Services Physical/Occupational Therapy Architect, Engineer, Land Surveyor Marital Family Therapy Physicians Assistant Audiologist Medical Professional Counselor Chiropractor Naturopath Psychology Dental Nursing Public Accountant Dispensing Optician Optometry Social Work Geologist Pharmacy Veterinary ARTICLE 3: Address of Professional Corporation in Alaska Provide the address where the professional corporation will have its office. ARTICLE 4: Registered Agent The registered agent of this domestic professional corporation must be an individual who is a resident of Alaska, or a corporation (excluding LLC, LP and LLP) registered and in good standing with this office. The registered agent is statutorily responsible for receiving and forwarding processes, notices, or demands on to the last known address of the entity. A corporation may not act as its own registered agent. A physical address and a mailing address in the State of Alaska must be given. State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ 08-424 (Rev. 01/30/2013) Articles of Incorporation Instructions ARTICLE 5: Alien Affiliate Defined in AS 10.06.990 as a person that directly or indirectly through one or more intermediaries controls, or is controlled by, or is under common control with, a corporation subject to this chapter: 1. An individual who is not a citizen or national of the United States, or who is not lawfully admitted to the United States for permanent residence, or paroled into the United States under the Immigration and Nationality Act (8 U.S.C. 1101 - 1525, as amended): 2. A person, other than an individual, that was not created or organized under the laws of the United States or of a state, or whose principal place of business is not located in any state; or 3. A person, other than an individual, that was created or organized under the laws of the United States or of a state, or whose principal place of business is located in a state, and that is controlled by a person described in (1) or (2) of this paragraph[.] ARTICLE 6: Officers, Directors, Shareholders List the names and addresses of all original shareholders, directors and officers of the professional corporation. Only shareholders of the corporation can be an officer or director of the corporation. List the professional license issued by the Department of Commerce, Community, and Economic Development, or include a copy of the license if it was issued by the Alaska State Bar Association. ARTICLE 7: Shares All professional corporations must provide the number of authorized shares – the maximum number of shares that a corporation is legally permitted to issue. Zero (0) is not an acceptable quantity. If there is more than one class or series of authorized shares, please provide this information. Par value is the nominal value or dollar value of the original cost of a share and has no relation to market value. ARTICLE 8: Optional Provisions and Additional Articles Attach additional pages for continuation of optional provisions and/or additional articles. Please indicate which article you are continuing and/or insert any desired additional provisions authorized by Alaska Statutes. Additional articles should be a continuation of the numbering as it appears on this form. Signatures of the Incorporators The printed name and signature of the Incorporator (at least one) who is a natural person of the age of 18 years or more. NOTE: The incorporator(s) must be licensed in the profession that the entity is incorporated under. Mail the Articles of Incorporation and the $250.00 filing fee in U.S. dollars to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. INITIAL REPORT: After filing your Articles of Incorporation, visit the Corporations Section at on our website, select Online Filing, and file the initial report for this entity. ADDITIONAL RESOURCES:  Professional License: For information regarding what professions require a Professional License, statutes, how to obtain a Professional License, and/or the expiration date if you already have a Professional License, go to the Professional License Section of our website at www.commerce.alaska.gov/occ . 08-424 (Rev. 01/30/2013) Articles of Incorporation Instructions  Business License: For the privilege of engaging in a business in the State of Alaska, a Business License is required for a new entity. For information regarding business licenses, statutes, and how to obtain a Business License, go to the Business License Section of our website at www.commerce.alaska.gov/occ .  Alaska Corporate Net Income Tax Every corporation earning gross income from sources within the state, except for those corporations that are specifically exempted, must file a corporation net income tax return. Contact the Alaska Department of Revenue, Tax Division, PO Box 110420, Juneau, Alaska, 99811-0420, telephone number (907) 465-2320 for more information. 08-424 (Rev. 01/30/2013) Page 1 of 2 State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP ARTICLES OF INCORPORATION Domestic Professional Corporation AS 10.45.010 & 10.06.208 $250.00 Filing Fee $150.00 Fee + $100.00 tax = $250.00 Pursuant to Alaska Statutes 10.45.010 and 10.06.208, the undersigned professional corporation applies for a Certificate of Incorporation and, for that purpose, submits the following articles: ARTICLE 1: Name of the corporation must contain the word “Corporation”, “Company”, “Incorporated”, “Limited,” “A Professional Corporation,” or an abbreviation of one of one of these, such as “P.C”: ARTICLE 2: Provide the name of the professional activity to be practiced by the corporation, and, separately, the 6 digit NAICS Industry Grouping Code that most clearly describes the initial activities of the company: Professional Activity: NAICS code: ARTICLE 3: Address where the professional corporation will have its office in Alaska: Physical address: Mailing address: City: AK Zip Code: ARTICLE 4: Registered agent name and address (must include a physical and mailing address in Alaska): Name: Physical address: City: AK Zip Code: Mailing address: City: AK Zip Code: ARTICLE 5: Name and address of each alien affiliate (if there are no alien affiliates, indicate “none”): Name: Mailing address: City: State/Province: Country: Attach an additional sheet if necessary. 08-424 (Rev. 01/30/2013) Page 2 of 2 ARTICLE 6: List the name and addresses of all original shareholders, directors, and officers of the professional corporation. Only shareholders of the corporation can be an officer or director of the corporation. List the professional license issued by the D epartment of Commerce, Community, and Economic Development. If the license was issued by the Alaska Bar Association, include a copy of the license with this filing. Title Name Mailing address Director X Shareholder X Professional License # President Vice President Secretary Treasurer Attach an additional sheet if necessary. ARTICLE 7: Number of authorized shares (zero is not an acceptable quantity): Common Preferred # of Authorized shares Class Series Par value Common Preferred # of Authorized shares Class Series Par value ARTICLE 8: Optional Provisions and Additional Articles Attach additional pages for continuation of optional provisions and/or additional articles. Please indicate which article you are continuing and/or insert any desired additional provisions authorized by Alaska Statutes. Additional articles should be a continuation of the numbering as it appears on this form. Signatures: The printed name and signature of the Incorporator (at least one) who is a natural person of the age of 18 years or more. NOTE: The incorporator(s) must be licensed in the profession that the entity is incorporated under. Professional Signature of Incorporator Printed name of Incorporator License # Date Mail the Articles of Incorporation and the $250.00 filing fee in U.S. dollars to: State of Alaska Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. INITIAL REPORT: After filing your Articles of Incorporation, visit the Corporations Section at on our website, select Online Filing, and file the initial report for this entity. 08-561 (Rev. 02/01/2012) Page 1 of 1 State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP CONTACT INFORMATION SHEET Please return this document with your filing. This information will only be used to resolve questions with the filings attached. NOTE: this form will not be filed for record or appear online. Name of entity as it appears on filing: To resolve questions with this filing, contact: Name: Email: Phone: Mailing address: Return documents to: Name: Company: Mailing address: Attach this form to your filings. Send all documents to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. All major credit cards are accepted. For security purposes, do not email credit card information. Include this credit card payment form with your application. Name of Applicant or Licensee: _______________________________________________________________________________________________________________ __________ Program Type: __________________________ ______________________________ License Number (if applicable) : ________________________________ I wish to make payment by credit card for the following (check all that apply ): AMOUNT Application Fee: ___________________________________________________________________ ______________________________ _ _______ __________ ________ License or R enewal Fee: _________________________________________________________________________________ ________ ____________ ______ Other (name change, wall certificate, fine, duplicate license, exam, etc.) : 1 . _____________________________________________________________________________________ ________________________________ ______________________ ____ 2. ____________________________________________________________ ________________________________________ _________________ __________ ________________ TOTAL : ___________________________ Name (as shown on credit card) : ______________________________________________________________________________________________________________ __________ Mailing Address: ______________________________________________________________________________________________________ _____________________ ________________________ Phone Number : _ __ ___________________________________________ __________ E mail (optional) : _____________________ __________________________________ Signature of Credit Card Holder: _________________________________________________________________________________________________ ____________________ 08- 4438 Rev 12/26/18 Credit Card Payment Form (all major card s accepted) State of Alaska Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing PO Box 110806, Juneau, AK 99811 Phone: (907) 465- 2550 Credit Card Payment Form CREDIT CARD INFO: Your payment cannot be processed unless all fields are completed! All four fields MUST be completed! This section will be destroyed after the payment is processed. 1. Account Number : 2. Expiration Date: 3. Billing ZIP Code: 4. Security Code : FOR DIVISION USE ONLY THE STATE ALASKA of Department of Commerce, Community , and Economic Development Division of Corporations, Business and Professional Licensing