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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: ____________________________________

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