Form Cf:0061 - Application For Authority To Conduct Affairs In Arizona

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DO NOT PUBLISH
THIS SECTION
1. If you are the
APPLICATION FOR AUTHORITY
holder or assignee of
TO CONDUCT AFFAIRS
a tradename or
IN ARIZONA
trademark, attach
Declaration of
The name of the corporation is: ____________________________________________.
Tradename Holder
A(n) _________________________________Nonprofit Corporation.
form. If your name
(State, Province or Country)
is not available for
use in Arizona, you
must adopt a fictitious
____
We are a foreign corporation applying for authority to conduct affairs in the state of Arizona.
name and provide a
resolution adopting
____
We are a foreign corporation currently authorized to conduct affairs in Arizona and must now file this
the name, which must
Application for New Authority pursuant to A.R.S. § 10-31504 because we have changed the following in our
be certified by the
domicile jurisdiction:
corporation’s
G
Our actual corporate name (or the name under which we originally obtained authority in Arizona).
Secretary.
G
The period of our duration.
G
The state, province or country of our incorporation.
1.
The exact name of the foreign corporation is:
3. You must provide
the total duration in
_________________________________________________________________________________________.
years for which your
corporation was
If the exact name of the foreign corporation is not available for use in this state, then the fictitious name
formed to endure. If
adopted for use by the corporation in Arizona is:
perpetual succession,
(FN).
so indicate in this
section. Do not leave
2.
The name of the state, province or country in which the foreign corporation is incorporated is:
blank, or state not
applicable.
3.
The foreign corporation was incorporated on the ____ day of _____________________, ______ and the
period of its duration is: ______________________________.
4.
The street address of the principal office of the foreign corporation in the state, province or country of its
incorporation is:
5. The statutory
5.
The name and street address of the statutory agent for the foreign corporation in Arizona is:
agent must provide a
street address. If
statutory agent has
P.O. Box, then they
must provide a 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 the
5.b.
The Annual Report and general correspondence should be mailed to the address specified above in section
Annual Report
should be mailed.
4______ or 5a________.

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