Form Cf:0036a - Articles Of Domestication Of A Tax-Exempt Nonprofit Corporation - 2004 Page 3

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11.
Discrimination Policy
Q
(check this box, if this provision will apply to your corporation.) DISCRIMINATION: The
corporation will not practice or permit discrimination on the basis of sex, age, race, national origin, religion,
or physical handicap or disability.
12.
Members (Check One)
The corporation
will
will not have members.
13.
Adoption.
These Articles of Domestication have been adopted in accordance with A.R.S. §10-3221. They were
adopted by the Board of Directors on __________________, _____ and by the members, if the corporation
has members, on __________________, _____.
14.
Acceptance of State Laws.
Upon transfer of domicile of the Corporation to Arizona, the Corporation accepts and will be subject to the
laws of Arizona.
Q
15.
Shares.
(check this box, if this provision will apply to your corporation.)
All issued shares have been converted and designated as membership interests in the corporation.
Hereafter, the corporation shall not have, nor issue shares.
DATED this ______ day of ___________________, ____.
_____________________________________
[Name of Corporation]
By___________________________________
___________________________________
[Name]
[Title]
Acceptance of Appointment
By Statutory Agent
The undersigned hereby acknowledges and accepts the appointment as statutory agent of the above-named
corporation effective this _______ day of _______________, ______.
Signed_______________________________________
_______________________________________
[Print Name Here]
_______________________________________
[If signing on behalf of a company serving as statutory
agent, print company name here]
Pursuant to A.R.S. §10-3223, these Articles of Domestication are accompanied a Certificate of Disclosure, and a Certificate of Good
Standing duly authenticated by the official having custody of the corporate records in the jurisdiction in which the corporation was
originally incorporated.
CF:0036A
REV: 07/04

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