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

DO NOT PUBLISH

THIS SECTION

The purpose of the corporation is to engage in any and all lawful affairs in which corporations

may engage in the state, province or country under whose law the foreign corporation is

6. If the purpose of your

incorporated, with the following limitations if any: ___________________________________

corporation has any

limitations, so indicate.

__________________________________________________________________________

If none, state no

limitations, or leave

The names and usual business addresses of the current directors and officers of the foreign

blank.

corporation are: (Attach additional sheets if necessary.)

The Application

Name:

[title]

must indicate if the

Address: _________________________________________________________

corporation does or

does not have

City, State, Zip_____________________________________________________

members.

Name:

[title]

The Application must

be accompanied by

Address: _________________________________________________________

the following:

City, State, Zip_____________________________________________________

A Certificate of

Disclosure, executed

by a duly-authorized

Name:

[title]

officer and dated

within 30 days of its

Address: _________________________________________________________

delivery to the

City, State, Zip_____________________________________________________

Commission.

A certified copy of



(Check one) The corporation

does have members

does NOT have members.

your articles of

incorporation, all

The character of business the foreign corporation initially intends to conduct in Arizona is:

amendments and

mergers (AZ Const.

________________________________________________________________________

Art. XIV, §8) and a

certificate of

existence or

document of similar

Dated this ________ day of ______________________, ______.

import duly

authenticated (within

60 days of delivery to

Signature: ________________________________________________________________

A.C.C.) by the official

[must be signed by a duly authorized Officer]

having custody of

__________________________________

____________________________

corporate records in

the state or country

[print name]

[title]

under whose laws

the corporation is

PHONE ___________________________

FAX ________________________

[optional]

incorporated.

ACCEPTANCE OF APPOINTMENT BY STATUTORY AGENT

The agent must consent

to the appointment by

The undersigned hereby acknowledges and accepts the appointment as statutory agent of this

signing the consent

corporation effective this

day of

____________________________________

[Signature]

[Print Name]

_____________________________________________________________________________

[If signing on behalf of a company serving as statutory agent, print company name here]

CF:0060

Arizona Corporation Commission

Rev: 04/2010

Page 4 of 4

Corporations Division

Form Cf:0060 - Application For Authority To Conduct Affairs In Arizona - 2010 Page 2

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