Fill and Sign the Art of Forming a New Nonprofit Utah Nonprofits

Important: Read instructions before completing form Non-Refundable Processing Fee: $ 70.00 1. Name of Corporation: 2. Purpose: Type: Number of Shares: 3. Shares: Type: Number of Shares: 4. Who/What is the name of the Registered Ag ent (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: 5. Name, Signature and Address of Incorporator (attach additional page if there is more than 1 incorporator) _____________________________________________________________________________ N am e ____________________________________________________________________________________________________________________________________ Address City State Zip S ig n atu re: D ate : 6. Principal Address: _____________________________________________________________________________ Address City State Zip Please list the officers and directors of th e corporation. Must have at least 1 officer and 1 director within the 1 st year of the corporation. _________________________________________________________________ __________________________________ Nam e P osit io n (s ) ____________________________________________________________________________________________________________________________________________ ____________________ _ Address C it y S ta te Z ip _________________________________________________________________ __________________________________ N am e P osit io n (s ) ____________________________________________________________________________________________________________________________________________ ____________________ _ Address C it y S ta te Z ip _________________________________________________________________ __________________________________ N am e P osit io n (s ) ____________________________________________________________________________________________________________________________________________ ____________________ _ Address C it y S ta te Z ip _________________________________________________________________ __________________________________ N am e P osit io n (s ) ____________________________________________________________________________________________________________________________________________ ____________________ _ Address C it y S ta te Z ip Under GRAMA {63-2-201}, all registration info rmation maintained by the Division is classified as public record. For confidenti ality purposes, you may use the business entity physical address rather than the residential or private address of any individual affiliated with t he entity. 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 Incorporation (Profit) This form must be type written or computer generated. Select or type in stock type Number of Shares: Number of Shares: 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 Mailing/Faxing Information: www.corporations.utah.gov/contactus.html Division's Website: www.corporations.utah.gov