Form Cf:0036a - Articles Of Domestication Of A Tax-Exempt Nonprofit Corporation - 2003 Page 2

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PHOENIX OFFICE
TUCSON OFFICE
1300 West Washington
400 West Congress
Phoenix, AZ 85007-2929
Tucson, AZ 85701-1347
Phone:(602) 542-3135
Phone: (520) 628-6560
Toll Free:
Toll Free:
1-800-345-5819
1-800-345-5819
ARIZONA CORPORATION COMMISSION
(AZ Residents Only)
(AZ Residents Only)
DOMESTIC PROFIT OR NONPROFIT ARTICLES OF DOMESTICATION CHECKLIST
Cover Sheet
Attach a completed cover sheet to the filing.
Corporation Name
Check name for availability - (602) 542-3230.
If applicable, Attach copy of trade name Certificate, or Declaration of Trade Name Assignee, or Declaration of
Holder of Trade Name.
Certificate of Disclosure
Check Box A or B. If B, attach required information.
Check part C, Yes or No. If yes, attach required information.
Affix signature(s) of officer(s). Must be dated within 30 days of delivery to the Commission.
Articles of Incorporation
Indicate the proposed name of the corporation.
Provide the name of the state or jurisdiction that the corporation was originally incorporated and the date of its
incorporation.
Indicate initial business / affairs.
Indicate the number of shares of stock corporation is authorized to issue, series, class and preference, if any (profit
only).
Indicate the street address of the known place of business in Arizona. May be in care of the address of the statutory
agent
Indicate the name and address of the statutory agent (If a statutory agent has a P.O. Box, then they must also provide
a physical description of their street address/location).
Indicate the name(s) and address(es) of the board currently serving as directors. Minimum of one.
Indicate whether the corporation will or will not have members (Nonprofit only).
Indicate the date of adoption by the Board of Directors, Shareholders and Members.
Fees
Attach check for filing fee. $100.00. Additional $35.00 for expedited services. Made payable to the Arizona
Corporation Commission.
Execute check.
Publication
You must publish a copy of your articles of Domestication in a newspaper of general circulation in the county of the
known place of business in Arizona, for three (3) consecutive publications. Do not publish until documents have
been approved.
File Affidavit of Publication with the ACC.
CF:0036A
REV: 10/03
1300 WEST WASHINGTON, PHOENIX, ARIZONA 85007-2929 / 400 WEST CONGRESS STREET, TUCSON, ARIZONA 85701-1347
- 602-542-3135

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