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Articles Of Incorporation Medical Corporation BCA-2.10 MCA - Illinois

Articles Of Incorporation Medical Corporation Form. This is a Illinois form and can be used in Corporation Secretary Of State .
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FORM BCA 2.10 (MCA) (rev. Dec. 2003) ARTICLES OF INCORPORATION Medical Corporation Secretary of State Department of Business Services 501 S. Second St., Rm. 350 Springfield, IL 62756 217-782-9522 www.cyberdriveillinois.com Print Reset Save Remit payment in the form of a cashier's check, certified check, money order or an Illinois attorney's or CPA's check payable to Secretary of State. Filing Fee: $150 See Note 1 on reverse to determine fees. 1. Corporate Name: ________________________________________________________________________________ Must end with one of the following words or abbreviations: "Chartered," "Limited," "Ltd," "Service Corporation" or "S.C." First Name Number City Middle Name Street Last Name -------- Submit in duplicate -------- Type or Print clearly in black ink -------- Do not write above this line -------- Franchise Tax $_____________ Total $ _____________ File #_______________________ Approved: ______ ______________________________________________________________________________________________ 2. Initial Registered Agent: __________________________________________________________________________ Suite # (P.O. Box alone is unacceptable) County Initial Registered Office: __________________________________________________________________________ ZIP Code Initial Registered Office: __________________________________________________________________________ 3. Purpose(s) for which the corporation is organized: Medical Corporation: To own, operate and maintain an establishment for the study, diagnosis and treatment of human ailments and injuries, whether physical or mental, and to promote medical, surgical and scientific research and knowledge; provided that medical or surgical treatment, advice or consultation will be given by employees of the corporation only if they are licensed pursuant to the Medical Practice Act. 4. Paragraph 1: Authorized Shares, Issued Shares and Consideration Received: Class Number of Shares Authorized Number of Shares Proposed to be Issued Consideration to be Received Therefore ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ TOTAL = $______________________ Paragraph 2: The preferences, qualification, limitations, restrictions and special or relative rights in respect of the shares of each class are: For more space, attach additional sheets of this size. _______________________________________________________________________$______________________ Printed by authority of the State of Illinois. January 2015 - 1 - C 322.3 American LegalNet, Inc. www.FormsWorkFlow.com 5. OPTIONAL: a. Number of directors constituting the initial board of directors of the Corporation: ____________________________ b. Names and addresses of persons who will serve as directors until the first annual meeting of shareholders or until their successors are elected and qualify: ____________________________________________________________________________________________ ____________________________________________________________________________________________ 6. OPTIONAL: a. Estimated value of all property to be owned by the Corporation for the following year wherever located: b. Estimated value of the property to be located within the State of Illinois during the following year: c. Estimated gross amount of business that will be transacted by the corporation during the following year: d. Estimated gross amount of business that will be transacted from places of business in the State of Illinois during the following year: ____________________________________________________________________________________________ $___________________________ $___________________________ $___________________________ $___________________________ Name Address City, State, ZIP 7. OPTIONAL: OTHER PROVISIONS Attach a separate sheet of this size for any other provision to be included in the Articles of Incorporation (e.g., authorizing preemptive rights, denying cumulative voting, regulating internal affairs, voting majority requirements, fixing a duration other than perpetual, etc.). 8. NAME(S) & ADDRESS(ES) OF INCORPORATOR(S) The undersigned incorporator(s) hereby declare(s), under penalties of perjury, that the statements made in the foregoing Articles of Incorporation are true and correct. Dated ________________________________ , ______ 1. ___________________________________________ Signature Name (type or print) Signature Signature and Name Month & Day Year 1. ___________________________________________ 2. ___________________________________________ 1. ___________________________________________ 3. ___________________________________________ 1. ___________________________________________ Name (type or print) Signature Name (type or print) 1. ___________________________________________ Street City/Town State ZIP Code Address 2. ___________________________________________ Street City/Town State ZIP Code 1. ___________________________________________ 3. ___________________________________________ Street City/Town State ZIP Code 1. ___________________________________________ Note 1: Fee Schedule The initial franchise tax is assessed at the rate of 15/100 of 1 percent ($1.50 per $1,000) on the paid-in capital represented in this State. (Minimum initial franchise tax is $25.) The filing fee is $150 The minimum total due (franchise tax + filing fee) is $175. Signatures must be in BLACK INK on original document. Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copies. NOTE: The incorporator must be either one or more persons licensed pursuant to the Medical Practice Act or an Illinois attorney. Note 2: Return to: _______________________________ Firm name Attention Mailing Address 1. ___________________________________________ _______________________________ _______________________________ _______________________________ City, State, ZIP Code American LegalNet, Inc. www.FormsWorkFlow.com
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