Delaware Division of Corporations 
                      401 Federal Street – Suite 4 
                      Dover, DE 19901 
                      Ph: 302-739-3073 
                      Fax: 302-739-3812 
                                              
                                              Certificate of Incorporation 
                                                   for Non-Stock Corporation 
                                                                                             
Dear Sir or Madam:  
 
       Enclosed please find a form for a Certificate of Incorporation for a Non-Stock 
Corporation to be filed in accordance with Section 102 of the General Corporation Law of 
the State of Delaware.  If the corporation is a non-profit corporation then this is not the 
correct form to use; please use the exempt form located on our website.  The fee to file the 
Certificate is $89.  If the document is more than 1 page, you must submit $9 for each 
additional page. You will receive a stamped “Filed” copy of the submitted document. A 
certified copy may be requested for an additional $50. Expedited services are available. 
Please  contact  our  office  concerning  these  fees  or  you  may  consult  our  fee  chart  at 
www.corp.delaware.gov.  Please make the check payable to “Delaware Secretary of State”. 
        
       An Annual Report must be filed by the corporation by March 1 of each year 
following the calendar year in which their Certificate of Incorporation becomes effective.  
Franchise Taxes in the amount of $175 are due at the time of filing of the report.  The fee 
to file the Annual Report is $50.  Please contact the Franchise Tax Section with any 
questions regarding the filing of the Annual Report or payment of the Franchise Taxes. 
 
       For the convenience of processing your order in a timely manner, please include a 
cover letter with your name, address and telephone/fax number to enable us to contact you if 
necessary. Please make sure you thoroughly complete all information requested on this form. 
It is important that the execution be legible, we request that you print or type the name of 
the person signing under the signature line. 
 
       Thank you for choosing Delaware as your corporate home. Should you require 
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
3073.  
 
                                              Sincerely,  
 
                                              Department of State  
                                              Division of Corporations 
 encl. 
 rev. 10/16 

Special Instructions – Certificate of Incorporation for a Non-Stock 
Corporation 
 
This form is to be used as a Template only. The following instructions 
will help you in correctly completing your Incorporation Certificate. 
The instructions are numbered to correspond with the article being 
referenced. 
 1.  The name of the corporation exactly as you wish it to appear in 
    our records.  Please visit our website to verify the availability of 
    the name.  The name must include one of the following words: 
    association, company, corporation, club, foundation, fund, 
    incorporated, institute, society, union, syndicate, limited or one 
    of the abbreviations thereof.  
 2.  List the name and street address of the registered agent located 
    in Delaware you are appointing to accept service of process for 
    the corporation. 
 3. This is the general purpose clause as stated in Delaware statute; 
    no action required. 
 4. No action required. 
 5. List the conditions of membership for the corporation or you may 
    state that the conditions of membership shall be stated in the by-
    laws of the corporation. 
 6. List the name and mailing address of the Incorporator for the 
    corporation.  Please note that the corporation itself cannot be the 
    Incorporator. 
 Execution Block - The document must be signed by the 
    Incorporator listed in Article 6 of the document pursuant to 
    Section 103 of Title 8.  The name of the person must be typed or 
    written legibly underneath the signature. 
This form contains the basic information required by statute; if you 
need to add additional information permitted by statute you may draft a 
new document.  Please feel free to call our office at 302-739-3073 for 
assistance in completing this form or visit our website at 
corp@delaware.gov.  
 
Sincerely, 
Delaware Division of Corporations 

           STATE OF DELAWARE 
           CERTIFICATE OF INCORPORATION 
           A NON-STOCK CORPORATION 
 
The undersigned Incorporator hereby certifies as follows: 
 
1.      The name of the Corporation is ________________________________________ 
_______________________________________________________________________. 
 
2.      The Registered Office of the corporation in the State of Delaware is located at 
_________________________________________________________________(street), 
in the City of ____________________________, County of ____________________  
Zip Code__________________.  The name of the Registered Agent at such address upon 
whom process against this corporation may be served is___________________________ 
_______________________________________________________________________. 
 
3.      The purpose of the corporation is to engage in any lawful act or activity for which 
corporations may be organized under the General Corporation Law of Delaware.  
 
4.      The corporation shall not have any capital stock. 
 
5.      The conditions of membership are:______________________________________ 
________________________________________________________________________ 
________________________________________________________________________ 
_______________________________________________________________________. 
 
6.      The name and mailing address of the incorporator are as follows: 
 
        Name_____________________________________________________________ 
        Mailing Address____________________________________________________ 
             ____________________________________ Zip Code_________  
          
           By:____________________________________ 
                                                          Incorporator 
                                                           
           Name:____________________________________ 
                                                          Print or Type