Download as pdf or txt
Download as pdf or txt
You are on page 1of 4

John H. Merrill P. O.

Box 5616
Secretary of State Montgomery, AL 36103-5616

State of Alabama
I, John H. Merrill, Secretary of State of Alabama, having custody of the
Great and Principal Seal of said State, do hereby certify that
as appears on file and of record in this office, the pages hereto attached, contain a
true, accurate, and literal copy of the Articles of Formation filed on behalf of
WILLIAMS CANCER INSTITUTE, P.C., as received and filed in the Office of
the Secretary of State on 03/10/2021.

In Testimony Whereof, I have hereunto set my


hand and affixed the Great Seal of the State, at the
Capitol, in the city of Montgomery, on this day.

04/15/2022
Date

20220415000010632
John H. Merrill Secretary of State
STATE OF ALABAMA
DOMESTIC PROFESSIONAL CORPORATION
CERTIFICATE OF FORMATION

1. THE NAME OF THE CORPORATION

WILLIAMS CANCER INSTITUTE, P.C.


2. THIS FORM WAS PREPARED BY:

Steven J. Thayer

3. THE STREET (NO PO BOXES) ADDRESS OF PRINCIPAL OFFICE:

111 West Myrtle Ave. Suite 1


Foley, AL 36535

MAILING ADDRESS IN ALABAMA OF PRINCIPAL OFFICE (IF DIFFERENT FROM STREET ADDRESS):

4. THE NAME AND STREET (NO PO BOXES) ADDRESS OF THE REGISTERED AGENT LOCATED AT THE REGISTERED OFFICE (MUST
BE LOCATED IN ALABAMA):

Cogency Global Inc.


2 NORTH JACKSON STREET, SUITE 605
Montgomery, AL 36104
MONTGOMERY
MAILING ADDRESS IN ALABAMA OF REGISTERED OFFICE (IF DIFFERENT
FROM STREET ADDRESS):

(FOR SOS OFFICE USE ONLY)

Alabama
5. PURPOSE FOR WHICH CORPORATION IS FORMED (THE PURPOSE INCLUDES THE Sec. Of State
TRANSACTION OF ANY LAWFUL BUSINESS FOR WHICH CORPORATIONS MAY BE
INCORPORATED IN ALABAMA UNDER TITLE 10A, CHAPTER 2 OF THE CODE OF 839-660 DPC
ALABAMA.):
Date 03/10/2021
Medical professional services as provided under Title 10A-4-2.01 of the
Time 10:36:00
Code of Alabama $100.00
File
County $100.00
Exp $0.00
-------
Total $200.00
6. NUMBER OF SHARES THE CORPORATION IS AUTHORIZED TO ISSUE: 1000 PAR VALUE (OPTIONAL):

7. PERIOD OF DURATION SHALL BE PERPETUAL UNLESS STATED OTHERWISE BY AN ATTACHED EXHIBIT.

03/10/2021 Steven J. Thayer Incorporator


DATE ELECTRONIC SIGNATURE & TITLE
John H. Merrill P.O. Box 5616
Secretary of State Montgomery, AL 36103-5616

I, John H. Merrill, Secretary of State of Alabama, having custody of the


Great and Principal Seal of said State, do hereby certify that
pursuant to the provisions of Title 10A, Chapter 1, Article 5, Code of Alabama
1975, and upon an examination of the entity records on file in this office, the
following entity name is reserved as available:
WILLIAMS CANCER INSTITUTE, P.C.

This name reservation is for the exclusive use of Steven J. Thayer, 191 N Wacker
Dr Ste 2300, Chicago, IL 60606 for a period of one year beginning March 10,
2021 and expiring March 10, 2022

In Testimony Whereof, I have hereunto set my


hand and affixed the Great Seal of the State, at the
Capitol, in the city of Montgomery, on this day.

March 10, 2021

Date

RES936593 John H. Merrill Secretary of State

You might also like