Form Cf:0060 - Application For Authority To Conduct Affairs In Arizona

DO NOT PUBLISH

THIS SECTION

APPLICATION FOR AUTHORITY

TO CONDUCT AFFAIRS

IN ARIZONA

Pursuant to A.R.S. §§10-11503

1. If you are the holder

or assignee of a trade

name, attach a copy of

the trade name

The name of the corporation is: ____________________________________________.

certificate. If your name

is not available for use

A(n) _________________________________Nonprofit Corporation.

in Arizona, you must

(State or Country)

adopt a fictitious name

and provide a resolution

We are a foreign corporation applying for authority to conduct affairs in the state of Arizona.

adopting the name,

which must be certified

The exact name of the foreign corporation is:

by a duly-authorized

____________________________________________________________________________.

officer of the

corporation.

If the exact name of the foreign corporation is not available for use in this state, then the fictitious

name adopted for use by the corporation in Arizona is:

3. You must provide the

(FN).

period of duration in

The name of the state or country in which the foreign corporation is

years (the number of

years the corporation

incorporated is: _______________________________________________________________.

will exist), or state the

duration is perpetual.

The foreign corporation was incorporated on the ____ day of _______________, ______ and the

Do not leave blank or

period of its duration is: ______________________________.

state not applicable.

The street address of the principal office of the foreign corporation in the state or country of its

4. If the state or country

incorporation is:

of incorporation does

____________________________________________________________________________

not require an address

to be maintained,

____________________________________________________________________________

provide the street

address of the statutory

____________________________________________________________________________

agent in the state or

country of incorporation.

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 or

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 the address to which general correspondence can be mailed.

The address listed above in section 4______ or 5a________.

5.b. Indicate to which

address general

correspondence can be

mailed.

CF:0060

Arizona Corporation Commission

Rev: 04/2010

Page 3 of 4

Corporations Division

Form Cf:0060 - Application For Authority To Conduct Affairs In Arizona - 2010

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