Corporations Division Cover Sheet

ARIZONA CORPORATION COMMISSION CORPORATIONS DIVISION COVER SHEET USE A SEPARATE COVER SHEET FOR EACH DOCUMENT ARE YOU FILING: New Entity Change to existing entity Re-submission/Correction PLEASE COMPLETE ALL APPROPRIATE SECTIONS Type in Corp/LLC Name: ___________________________________________________________________________ FILING TYPE Articles of Domestication Articles of Incorporation (Profit) Articles of Incorporation (Non Profit) Articles of Organization (Limited Liability Company) Application For Authority (Business) Application to Conduct Affairs (Non Profit) Application for New Authority Application for Registration Articles of Amendment Articles of Amendment & Restatement Articles of Correction Articles of Merger/Share Exchange Articles of Merger (Limited Liability Company) Affidavit of Publication CORPORATIONS -Certified Copies* *If copies are for different entities the Expedite fee applies to each entity REGULAR SERVICE FEE $100.00 $ 60.00 $ 40.00 $ 50.00 $175.00 $175.00 $175.00 $150.00 $ 25.00 $ 25.00 $ 25.00 $100.00 $ 50.00 $ 0.00 $5.00 Each (______) (Enter Quantity) $10.00 Each (______) (Enter Quantity) $10.00 Each (______) (Enter Quantity) Regular Fee EXPEDITED SERVICE FEE $135.00 $ 95.00 $ 75.00 $ 85.00 $210.00 $210.00 $210.00 $185.00 $ 60.00 $ 60.00 $ 60.00 $135.00 $ 85.00 $ 35.00 $40.00 (______) (Enter Quantity) $45.00 (______) (Enter Quantity) $45.00 (______) (Enter Quantity) Expedite Fee LLCs - Certified Copies* *If copies are for different entities the Expedite fee applies to each entity Good Standing Certificate* *If Good Standing Certificates are for different entities the Expedite fee applies to each entity Other: _____________________________________ SELECT PAYMENT TYPE: Check Cash M.O.D. Account Credit Card No fee required SELECT ONE RETURN DELIVERY OPTION: Mail MOD Acct # ______________ Check # ________________ Check Amount $______________ Cash Amount $______________ Mod Amount CC Amount $ ______________ $ ______________ Pick Up Fax # (_______)______________________ REQUIRED: Please list the person or company who will be picking up the completed documents. DOCUMENTS WILL BE MAILED IF THEY ARE NOT PICKED UP IN A TIMELY MANNER (APPROXIMATELY TWO WEEKS). Person or Company Name: Address: City: State: Phone Number: Zip: FOR ARIZONA CORPORATION COMMISSION USE ONLY PICK-UP BY: ____________________________________________________ DATE: _________________________ View current process times at: www.azcc.gov/Divisions/Corporations CFCVLR REV 02/19/2009 American LegalNet, Inc. www.FormsWorkflow.com