Transmittal Information Form

Georgia Corporation Formation Forms

TRANSMITTAL INFORMATION FORM - GEORGIA CORPORATION

IMPORTANT: Please provide the entity’s primary email address when completing this form.

Primary Email Address:

NOTICE TO APPLICANT: PRINT PLAINLY OR TYPE REMAINDER OF THIS FORM

1. Corporation Type (check one only):

Profit     Nonprofit     Professional

Corporate Name Reservation Number:

Corporate Name:

2.

Name of Person Filing Articles of Incorporation:

Address: City: State: Zip Code:

Filer’s Email Address: Telephone Number:

3.

Name of Registered Agent in Georgia:

Registered Office Street Address in Georgia:

City: County: State: Zip Code:

Registered Agent’s Email Address:

4. Initial Annual Registration

A Georgia corporation incorporated between January 1 - October 1 must file its initial annual registration with the Secretary of State within 90 days after the day its articles of incorporation are filed with the Secretary of State; a Georgia corporation incorporated between October 2 - December 31 must file its initial annual registration with the Secretary of State between January 1 and April 1 of the year next succeeding the calendar year of its incorporation.

5. Mailing / Certification

Mail the following items to the Secretary of State at the above address: 1) This Transmittal Information Form; 2) The Articles of Incorporation; and 3) Filing fee of $100.00 payable to Secretary of State. Filing fees are non-refundable.

I certify that a Notice of Incorporation or Notice of Intent to Incorporate with a publication fee of $40.00 has been or will be mailed or delivered to the official organ of the county where the initial registered office of the corporation is to be located. I understand that this Transmittal Information Form is included as part of my filing, and the information on this form will be entered in the Secretary of State business entity database. I certify that the above information is true and correct to the best of my knowledge.

Print name:

ARTICLES OF INCORPORATION

Article 1. The name of the corporation is:

Article 2. The corporation is authorized to issue shares.

Article 3. The street address of the registered office is:

The name of the registered agent at such address is:

The county of the registered office is:

Article 4. The name and address of each incorporator is:

Name: Address:

Name: Address:

Name: Address:

Article 5. The principal mailing address of the corporation is:

IN WITNESS WHEREOF, the undersigned has executed these Articles of Incorporation.

Capacity:

NOTICE OF INCORPORATION

Dear Publisher:

Please publish once a week for two consecutive weeks a notice in the following form:

Notice is given that articles of incorporation that will incorporate have been delivered to the Secretary of State for filing in accordance with the Georgia Business Corporation Code (or Georgia Nonprofit Corporation Code). The initial registered office of the corporation is located at and its initial registered agent at such address is .

Enclosed is (check, draft or money order) in the amount of $40.00 in payment of the cost of publishing this notice.