Application For Authority To Transact Business 2011

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DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.
APPLICATION FOR AUTHORITY
TO TRANSACT BUSINESS OR CONDUCT AFFAIRS IN ARIZONA
Read the Instructions
C018i
1.
ENTITY TYPE – check only one to indicate the type of entity applying for authority:
FOR-PROFIT CORPORATION
INSURER
NONPROFIT CORPORATION
SAVINGS AND LOAN ASSOCIATION
PROFESSIONAL CORPORATION
CREDIT UNION
CLOSE CORPORATION
TRUST COMPANY
BUSINESS TRUST
COOPERATIVE MARKETING ASSOCIATION
BUSINESS DEVELOPMENT CORP.
ELECTRIC COOPERATIVE NON-PROFIT MEMBERSHIP ASSOC.
CORPORATION SOLE
NONPROFIT ELEC. GENERATION AND TRANSMISSION COOPERATIVE CORP.
2.
NAME IN STATE OR COUNTRY OF INCORPORATION (FOREIGN NAME) – enter the exact, true name of the foreign
corporation:
__________________________________________________________________________________________________
3.
NAME TO BE USED IN ARIZONA (ENTITY NAME) –
see Instructions C018i
- identify the name the foreign corporation
will use in Arizona by checking 3.1, 3.2, or 3.3 (check only one), and follow instructions
3.1
Name in state or country
3.2
Name in state or country of
3.3
Fictitious name (check this
of incorporation, with no
incorporation, with a corporate
only if the foreign corporation’s
changes –
identifier added to it –
name in its state or country of
Go to number 4.
Enter the name in number 3.4
incorporation is not available for
.
use in Arizona) –
below
Enter the name in number 3.4 below.
3.4 If you checked 3.2 or 3.3, enter or print the name to be used in Arizona:
4.
FOREIGN DOMICILE – list the state or country in which the foreign corporation is incorporated: _________________
5.
DATE OF INCORPORATION IN FOREIGN DOMICILE: _________________________________________________
6.
DURATION – the duration or life period of the foreign corporation is presumed to be perpetual unless one of the
boxes is checked below and the blanks are filled in:
The corporation’s life period will end after the expiration of _________ years (enter a number of years).
date
(enter a date).
The corporation’s life period will end on this
The corporation’s life period will end upon the occurrence of this event:
_______________________________________________________________________ (describe an event).
7.
PURPOSE – the foreign corporation’s purpose is to engage in any or all lawful business or affairs in which corporations
may engage in the state or country under whose law the foreign corporation is incorporated, subject to the following
limitations, if any (leave this blank if there are no limitations on the corporation’s purpose):
C018.001
Arizona Corporation Commission – Corporations Division
Page 1 of 4
Rev: 2011

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