Form Cf:0036 - Articles Of Domestication - 2004 Page 3

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12.
Adoption.
These Articles of Domestication have been adopted in accordance with A.R.S. §10-221. They were
adopted by the Board of Directors of the Corporation on __________________, _____ and by the
shareholders of the Corporation on __________________, ______.
13.
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.
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]
CF:0036
REV: 08/04

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