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Secretary of State Business Programs Division Business Entities 1500 11th Street, Sacramento, CA 95814 Box 944260, Sacramento, CA 94244-2600 Submission Cover SheetFor faster service, file online at Instructions: Complete and include this form with your paper submission. This information only will beused to communicate in writing about the submission, if needed. This form will betreated as correspondence and will not be made part of the filed document. Make all checks or money orders payable to the Secretary of State. In person submissions (excluding Statements of Information): $15 handling fee; do not includea $15 handling fee when submitting documents by mail.

Revenue Code section 501(c)(3) is a nonprofit Public Benefit corporation. To form a Nonprofit Public Benefit Corporation in California, you must file Articles of Incorporation with the California Secretary of S tate. This form is for use by corporations seeking tax-exempt status within the meaning of Internal Revenue Code section 501(c)(3). Do

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