Fill and Sign the Purpose in Order to Form a Nonprofit Corporation under

STATE OF ALABAMA DOMESTIC NONPROFIT CORPORATION CERTIFICATE OF FORMATION DNP Corp Cert of Formation - 01/2019  page 1 of  3               (For Count y Probate Office Use Onl y)   PURPOSE: In order to form a Nonprofit Corporation under Section 10A-1-3.05 and 10A-3-3.02 of the Code of Alabama 1975 this Certificate Of Formation and the appropriate filing fees must be filed with the Offi ce of the Judge of Probate in the county where the corporation’s initial registered office is located. The information required in this form is required by Title 10A. INSTRUCTIONS: Mail one (1) signed original and two (2) copies of this completed form and the appropriate filing fees to the Office of the Judge of Pr obate in the county where the corporation’s registered offi ce is/will be located. Contact the Judge of Probate’s Offi ce to determine the county filing fees. Make a separate check or money order payable to the Secretary of State for the state filing fee of $100.00 and the Judge of Probate’s Offi ce will transmit the fee along with a certified copy of the Certificate to the Office of the Secretary of State within 10 days after the Certificate is recorded. You may pay the Secretary of State fees by credit ca rd if the county you are filing in will accept that method of payment (see attached). Your filing will not be indexed if the credit card does not au thorize and will be removed from the index if the check is dishonored ($30.00 fee). This form must be typed or laser printed. 1. The name of the corporation: 2. A copy of the Name Reservation certificate from the Office of the Secretary of State must be attached. 3. This nonprofit corporation (MUST check one): has Members or has no Members     This  form  was prepared  by:  (type  name and  full address)    (For SOS Office Use Only) DOMESTIC NONPROFIT CORPORATION CERTIFICATE OF FORMATION DNP  Corp Cert of Formation - 01/2019         Page 2  of  3        4. Street ( No PO Boxes ) address of principal office of the corporation: Mailing address of principal office (if different from street address): 5. The name of the Registered Agent: 6. Street ( No PO Boxes ) address of Registered Agent (if differe nt from principal office address): Mailing address of Registered Agent (if di fferent from street address): 7. Purpose for which corporation is formed: ; the purpose includes the transaction of any lawful business for which nonprofit corporations may be incorporated in Alabama under Title 10A , Chapter 3 of the Code of Alabama. 8. Period of duration shall be perpetual unless stated otherwise by an attached exhibit. 9. The name(s) of the Incorporator(s): Street ( No PO Boxes ) address of Incorporator(s): Mailing address of Incorporator(s) – (if different from street address): Attach a listing if more Incorp orators need to be added (type “see attached” in the name line). 10. The number of Directors constituting the initial Board of Directors is . The initial Directors names and addresses must be listed in this Certificate of Formation. Director’s Name: Street ( No PO Boxes ) address of Director: Mailing address of Director(s) - (if different from street address): DOMESTIC NONPROFIT CORPORATION CERTIFICATE OF FORMATION DNP  Corp Cert of Formation - 01/2019          Page 3  of  3      Director’s Name: Street ( No PO Boxes ) address of Director: Mailing address of Director(s) - (if different from street address): Director’s Name: Street (No PO Boxes ) address of Director: Mailing address of Director(s) - (if different from street address): Attach listing if more Di rectors need to be added (type “see atta ched” in the name line for the first Director on this form). 11. Unless an attachment to this Certificate of Formation pr ovides that a change in the number of directors shall be made only by amendment to the Certificate of Form ation, a change in the number of directors made by amendment to the bylaws shall be contro lling. In all other cases, whenever a provision of the Certificate of Formation is inconsistent with a bylaw, the provision of the Certificate of Formation shall be controlling. Attached are any other provisions that are not inconsistent with law relating to organization, ownership, governance, business, or regulation of the internal affairs of the nonprofit corporation, including any provisions for distribution of assets on dissolution or final liquidation. Date (MM/DD/YYYY) Signature as required by 10A-1-3.04 Typed Name of Above Signature Typed Title/Capacity to Sign under 10A-1-3.04 Credit Card/Prepaid Acct. Option Sheet – 01/2019 Secretary of State Credit Card or Prepaid Pa yment Option/Return/Hold Sheet: If you do not send an acknowledgement copy and a pre-addressed postage paid envelope with the filing or provide a n email return on th is form, you will n ot receive a credit card or prepaid account receipt from the Secretary of State’s Office. Hold for pickup requ est will have the receip t attached. The do cument of record will be stamped showing the receipt of the filing fee and expedite fee but will not show convenience fees which will be charged; (generally these fees are between 2% and 5% of the total charge). Information MUST be ty ped or filing will be returned without review. Entity Name: AL Entity ID Number: - (ex: 000-000) Service Requ ested : X $100.00 Formation filing fee $100.00 Expedited Processing fee (must be included with initial filing) Hold at Front Desk for Pick-up by : (Service providers who run couriers for pick-up) There is n o notification service and there will not be a call for pick -up. Return via email (only one email): (ONLY for expedited filings) No paper copy will be mailed Charge fees to prepaid account: Account Number and Account Name Typed Name & Signature of Authorized Individual on Account Credit Card Type: (Visa, MC, Discover & AmEx) Card Number: Expirat ion Mo/Yr: / (MM/YY) Card Holder Name: Complete Billing Address: Street or PO City State Zip Signature of Card Holder: MUST be Signature of Card Holder