Form C021.001 - Articles Of Domestication - Nonprofit Corporation Page 2

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8. DIRECTORS - list the name and business address of each and every Director of the
corporation. If more space is needed, check this box
and complete and attach the
Director
Attachment
form C082.
Name
Name
Address 1
Address 1
Address 2 (optional)
Address 2 (optional)
Zip
Zip
City
State or
City
State or
Province
Province
Country
Country
Date taking office (optional):
Date taking office (optional):
Name
Name
Address 1
Address 1
Address 2 (optional)
Address 2 (optional)
State or
City
State or
City
Zip
Zip
Province
Province
Country
Country
Date taking office (optional):
Date taking office (optional):
Name
Name
Address 1
Address 1
Address 2 (optional)
Address 2 (optional)
City
Zip
City
Zip
State or
State or
Province
Province
Country
Country
Date taking office (optional):
Date taking office (optional):
9. STATUTORY AGENT –
see Instructions C021i
9.1
REQUIRED
9.2 OPTIONAL
give the name (can be
mailing address in Arizona
an individual or an entity) and physical
of statutory agent (can be a P.O. Box):
or street address (not a P.O. Box) in Arizona
of the statutory agent:
Statutory Agent Name (required)
Attention (optional)
Attention (optional)
Address 1
Address 1
Address 2 (optional)
Address 2 (optional)
State
Zip
City
State
Zip
City
9.3
REQUIRED – the
Statutory Agent Acceptance
form M002 must be submitted along with
these Articles of Incorporation.
C021.001
Arizona Corporation Commission – Corporations Division
Rev: 2010
Page 2 of 3

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