Form Bca 2.10 (Mca) Articles Of Incorporation Medical Corporation
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BCA 2.10 (MCA)
FORM
(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
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.
See Note 1 on reverse to determine fees.
Filing Fee: $150
Franchise Tax $_____________ Total $ _____________ File #________________________ Approved: ______
———— Submit in duplicate ———— Type or Print clearly in black ink ———— Do not write above this line ————
1. Corporate Name: ________________________________________________________________________________
______________________________________________________________________________________________
Must end with one of the following words or abbreviations: “Chartered,” “Limited,” “Ltd,” “Service Corporation” or “S.C.”
2. Initial Registered Agent: __________________________________________________________________________
First Name
Middle Name
Last Name
Initial Registered Office: __________________________________________________________________________
Number
Street
Suite # (P.O. Box alone is unacceptable)
Initial Registered Office:
__________________________________________________________________________
City
ZIP Code
County
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 knowl-
edge; 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
Number of Shares
Consideration to be
Authorized
Proposed to be Issued
Received Therefor
______________________________________________________________________________________________
_______________________________________________________________________$______________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
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. August 2006 - 5M - C 322.2
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