Form Cf: 0036a - Articles Of Domestication Of A Tax-Exempt Nonprofit Corporation - Page 5
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5Acceptance 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 _______________, 19__.
Signed____________________________________
____________________________________
[Print 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
-5-
Rev 10/99
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