ARIZONA CORPORATION COMMISSION
CORPORATIONS DIVISION
SUBMISSION COVER SHEET
THIS DOCUMENT SUBJECT TO PUBLIC RECORD - Important: use a separate cover sheet for each document
Regarding (Name/proposed name for Corp./LLC):
Please Check or Complete the Appropriate Sections:
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A.
1.
NEW Entity Filing
CHANGE to Existing Entity
Re submission/Corrected Document
2.
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Domestic (from Arizona)
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Foreign (organized in another state or country)
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3.
Profit/Business Corporation (B)
Nonprofit Corporation (NP)
LLC
Trust
Other
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4. Payment
Check #
Cash
MOD account #
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Amount: $
No fee required
See attached distribution of funds instructions
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Expedited
5. Processing
(Priority service, $35 Additional Fee Per Document)
Completed as soon as possible or visit
for current processing times.
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Regular
Visit
for current processing times.
B. Filing Type:
(Check one only)
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Articles of Domestication
Publication of
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Articles of Incorporation
Articles of Correction
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Articles of Organization
Merger of (name):
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Application to Transact Business(B)
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Into:
Application to Conduct Affairs (NP)
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Application for New Authority
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Other:
Application for Registration
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Articles of Amendment
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Articles of Amendment & Restatement
C. Special Instructions:
D. Extras:
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Certified Copies
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Expedite Certified Copies ($35 extra)
(Qty. @ $5 ea. for corps or $10 ea. for LLCs)
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Good Standing Certificate
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Expedite Good Standing ($35 extra)
(Qty. @ $10 ea.)
E.
RETURN DELIVERY VIA:
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Mail or
Pick Up or
Fax # (
)
The following individual should be called to pick up completed documents:
Name:
Phone: (
)
Pick-up by:
Date:
Please respond promptly to phone messages. Documents will be mailed if they are not picked up in a timely manner - approximately two weeks. In that event, the documents
should be mailed to the following address:
Name:
Firm:
Address:
City, State, Zip:
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CFCVLR
REV 04/05
1300 WEST WASHINGTON, PHOENIX, ARIZONA 85007-2929 / 400 WEST CONGRESS STREET, TUCSON, ARIZONA 85701-1347
- 602-542-3135