Form Cf0059 - Application For Reservation Of A Corporate Name

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Arizona Corporation Commission
APPLICATION FOR RESERVATION OF A CORPORATE NAME
THIS RESERVATION IS FOR A PERIOD OF 120 DAYS PURSUANT TO THE PROVISIONS OF A.R.S. §10-
402, §10-3402, & §29.603. THIS APPLICATION MUST BE ACCOMPANIED BY THE APPLICATION FEE OF
$10.00 (FOR REGULAR SERVICE) OR $45.00 ($10.00 APPLICATION FEE PLUS $35.00 EXPEDITE FEE) –
(A.R.S. §10-122 and §29-851) MADE PAYABLE TO THE ARIZONA CORPORATION COMMISSION.
NAME TO BE RESERVED: (
Include any corporate identifiers. For a list of identifiers, refer to the
Naming Standards on the Commision's web site)
__________________________________________________________________________
_____________________________________________________
Name of Applicant executing the reservation
(Note: this name MUST be listed in the subsequent filing of articles)
By affixing the name above, the applicant is hereby executing the name reservation.
_____________________________________________________
Address
_____________________________________________________
City, State, Zip
Indicate Initial Entity Type: (choose one only)
BUSINESS CORPORATION
LIMITED LIABILITY COMPANY
NON-PROFIT CORPORATION
PROFESSIONAL CORPORATION
PROFESSIONAL L.L.C.
CLOSE CORPORATION
CO-OPERATIVE
NAME REGISTRATION
NON-FILING INSURANCE
LOAN
CORPORATE SOLE
CREDIT UNION
TRUST
Fee included: (check one)
$10.00 Name Reservation
(Regular Service)
$45.00 Expedite service
($10.00 Name Reservation + $35.00 expedited service)
________________________________________________________________
Party Filing the Application
Upon receipt the filer will receive a written confirmation indicating the approval or
denial of the reservation. This documentation will be delivered via
(Check one below):
Fax: (___) ____________
Pickup by Filer: (___) ______________
Mail to: _____________________________________
FOR ACC USE ONLY
_____________________________________
Doc Id
_____________
(Address if different than applicant)
Doc Type
_____________
File Number _____________
Submit
Arizona Corporation Commission
Application to:
Corporate Filings Section
Date Recvd _____________
1300 W Washington
Status
_____________
Phoenix AZ 85007
FAX: 602-542-4100
CF0059
Rev. 11/2005

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