Form Cf:0061 - Application For New Authority To Conduct Affairs In Arizona - 2010
ADVERTISEMENT
1
2DO NOT PUBLISH
APPLICATION FOR NEW AUTHORITY
THIS SECTION
TO CONDUCT AFFAIRS
IN ARIZONA
1. If you are the holder
The name of the corporation is: ____________________________________________.
or assignee of a trade
name, attach a copy of
A(n) _________________________________Nonprofit Corporation.
the trade name
certificate. If your name
(State or Country)
is not available for use
in Arizona, you must
X
We are a foreign corporation currently authorized to conduct affairs in Arizona and must now
adopt a fictitious name
file this Application for New Authority pursuant to A.R.S.§10-31504 because we have changed
and provide a resolution
the following in our domicile jurisdiction:
adopting the name,
Our actual corporate name (or the name under which we originally obtained authority in
which must be certified
Arizona).
by the corporation’s
The period of our duration.
Secretary.
The state or country of our incorporation.
1.
The exact name of the foreign corporation is:
___________________________________________________________________________.
3. You must provide
the total duration in
If the exact name of the foreign corporation is not available for use in this state, then the
years for which your
fictitious name adopted for use by the corporation in Arizona is:
corporation was formed
(FN).
to endure. If perpetual
succession, so indicate
2.
The name of the state or country in which the foreign corporation is incorporated is:
in this section. Do not
leave blank, or state not
______________________________________________________________.
applicable.
3.
The foreign corporation was incorporated on the ____ day of _______________, ______ and
the period of its duration is: ______________________________.
4. If the state or country
of incorporation does
not require an address
4.
The street address of the principal office of the foreign corporation in the state or country of its
to be maintained,
incorporation is:
provide the street
____________________________________________________________________________
address of the statutory
____________________________________________________________________________
agent in the state or
country of incorporation.
____________________________________________________________________________
5.
The name and street address of the statutory agent for the foreign corporation in Arizona is:
5. The statutory agent
must provide a street
____________________________________________________________________________
address. If statutory
agent has P.O. Box,
____________________________________________________________________________
then they must also
____________________________________________________________________________
provide a physical
street address/location.
5.a. The street address of the known place of business of the foreign corporation in Arizona IF
DIFFERENT from the street address of the statutory agent is:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
5.b. Indicate to which
address general
correspondence
can be mailed
.
5.b.
Indicate the address to which general correspondence can be mailed:
The address listed above in section 4
or 5a
.
CF:0061
Arizona Corporation Commission
Rev: 04/2010
Page 2 of 3
Corporations Division
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