Fill and Sign the Corporation is Not Form

Page 1 of 2 DOS-1239-f-l (Rev. 12/14) New York State Department of State Division of Corporations, State Records and Uniform Commercial Code One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 www.dos.ny.gov CERTIFICATE OF INCORPORATION OF (Insert Corporate Name) Under Section 402 of the Business Corporation Law FIRST: The name of the corporation is: SECOND: The purpose of the corporation is to engage in any lawful act or activity for which a corporation may be organized under the Business Corporation Law. The corporation is not formed to engage in any act or activity requiring the consent or approval of any state official, department, board, agency or other body without such consent or approval first being obtained. THIRD: The county, within this state, in which the office of the corporation is to be located is: FOURTH: The corporation shall have authority to issue one class of shares consisting of 200 common shares without par value. FIFTH: The Secretary of State is designated as agent of the corporation upon whom process against the corporation may be served. The address to which the Secretary of State shall mail a copy of any process accepted on behalf of the corporation is: Page 2 of 2 DOS-1239-f-l (Rev. 12/14) Incorporator Information Required X (Signature) (Type or Print Name) (Address) (City, State, Zip Code) CERTIFICATE OF INCORPORATION OF (Insert Corporate Name) Under Section 402 of the Business Corporation Law Filed by: (Name) (Mailing Address) (City, State and Zip Code) Note: This form was prepared by the New York State Department of State for filing a certificate of incorporation for a business corporation. It does not contain all optional provisions under the law. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores. The Department of State recommends that legal documents be prepared under the guidance of an attorney. The fee for filing a certificate of incorporation is $125. Checks should be made payable to the Department of State. For DOS use only