Articles Of Domestication Of A Non-Tax-Exempt Nonprofit Corporation Form Page 3
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3DATED this ______ day of ___________________, 19__.
_____________________________________
[Name of Corporation]
By___________________________________
___________________________________
[Name]
[Title]
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.
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 _______________, 19__.
Signed____________________________________
____________________________________
[Print Name Here]
CF: 0036B
-3-
Rev 10/99
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