Submission Cover Sheet (Arizona)
This is a cover sheet to submit documents in Arizona. The form provided here is simply a sample of what the actual form looks like.
ARIZONA CORPORATION COMMISSION
CORPORATIONS DIVISION
Phoenix Address: 1300 West Washington
Phoenix, Arizona 85007-2929
Phone: (602) 542-3135
Toll Free: 1-800-345-5819
Tucson Address: 400 West Congress
Tucson, Arizona 85701-1347
Phone: (602) 628-6560
Toll Free: 1-800-345-5819
www.cc.state.az.us
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:
A. 1. ____ NEW Entity Filing
____ CHANGE to Existing Entity
____ Resubmission/Corrected Document
2. ____ Domestic (from Arizona)
____ Foreign (organized in another state or country)
3. ____ Profit/Business Corporation (B)
____ Nonprofit Corporation (NP)
____ LLC
____ Trust
____ Other
4. Payment
____ Check # _________
____ Cash
____ MOD account # ______________________
Amount: $________________
____ No fee required
____ See attached distribution of funds instructions
5. Processing
____ Expedited (usually 1-3 day turn-around, $35 Additional Fee Per Document)
____ Regular (usually 4-7 week turn-around)
B. Filing Type: (Check one only)
____ Articles of Domestication
____ Articles of Incorporation
____ Articles of Organization
____ Application to Transact Business(B)
____ Application to Conduct Affairs (NP)
____ Application for New Authority
____ Application for Registration
____ Articles of Amendment
____ Articles of Amendment & Restatement
____ Publication of ____________________________________
____ Articles of Correction
____ Merger of (name): ____________________________________
Into: ____________________________________
____ Other: ____________________________________
C. Special Instructions: ____________________________________
D. Extras:
____ Certified Copies-__________ (Qty. @ $5 ea. for corps or $10 ea. for LLCs)
____ Expedite Certified Copies ($35 extra)
____ Good Standing Certificate-__________ (Qty. @ $10 ea.)
____ Expedite Good Standing ($35 extra)
E. RETURN DELIVERY VIA:
____ 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 mannerĀ¬--approximately two weeks. In that event, the documents should be mailed to the following address:
Name: ____________________________________
Firm: ____________________________________
Address: ____________________________________
City: ____________________________________
State: ____________________________________
Zip: ____________________________________