Statement Of Bankruptcy And Or Receivorship {AR0014} | Pdf Fpdf Doc Docx | Arizona

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Statement Of Bankruptcy And Or Receivorship {AR0014} | Pdf Fpdf Doc Docx | Arizona

Statement Of Bankruptcy And Or Receivorship {AR0014}

This is a Arizona form that can be used for Corporation within Secretary Of State.

Alternate TextLast updated: 5/2/2006

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COMMISSIONERS JEFF HATCH-MILLER - Chairman BRIAN C. MCNEIL WILLIAM A. MUNDELL Executive Secretary MARC SPITZER MIKE GLEASON DAVID RABER ARIZONA CORPORATION COMMISSION KRISTIN K. MAYES Director, Corporations Division STATEMENT OF BANKRUPTCY AND/OR RECEIVERSHIP Pursuant to A.R.S.10-1623 and 10-11623 (Exact corporate name in Arizona) Pursuant to the provisions of A.R.S. 10-1623, 10-11623, 10-202.D.2 & 10-3202.02., the corporation named herein delivers to the Arizona Corporation Commission the following information relevant to its: Filing a Petition for Bankruptcy. DATE (M/D/YR): CASE NUMBER: COURT: STATE: Appointment of a Receiver for the corporation. DATE (M/D/YR): CASE NUMBER: COURT: STATE: RECEIVER NAME: RECEIVER ADDRESS: CITY, STATE, ZIP: Exact name of the corporation in Arizona is: Address: City: State: Zip: The corporation shall attach a statement listing the following information and deliver it to the commission: 1. All officers, directors, trustees and major stockholders of the corporation within one year of filing the petition for bankruptcy or the appointment of a receiver. If a major stockholder is a corporation, the statement shall list the current president, chairmof the board of directors and man ajor stockholders of such corporate stockholder. 2. Whether any such person has been an officer, director, trustee or major stockholder of any other corporation within one year of the bankruptcy or receivership of the other corporation. 3. If the answer in paragraph 2 of this subsection is in the affirmative, for each such corporation the following information: (a) Name and address. (b) States in which it: (i) Was incorporated. (ii) Transacted business. (c) Dates of operation. American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2Definitions: In this form: 1. "Controlling" includes the total shares of stock issued to a husband and wife and their relatives to the first degree of consanguinity. 2. "Major stockholder" means a shareholder possessing or controlling twenty per cent of the issued and outstanding shares or twenty per cent of any proprietary, beneficial or membership interest in the corporation. The aforementioned information must be submitted to the Arizona Corporation Commission. SEND TO: ARIZONA CORPORATION COMMISSION PHOENIX CORPORATIONS DIVISION TUCSON CORPORATIONS DIVISION 1300 WEST WASHINGTON OR 400 WEST CONGRESS PHOENIX, AZ 85007-2929 TUCSON, AZ 85701-1347 Warning: 1. Any person or corporation failing to comply with the requirements of this section is guilty of a class 1 misdemeanor. Any person making a false statement or giving false information pursuant to this section is guilty of a class 5 felony. 2. A corporations obligations pursuant to A.R.S.10-1623 and 10- 11623 in no way absolves them from their obligation to file a corporate annual report as required by A.R.S.10-1622 or 10- 11622. 3. All information required in this statement is public record. Do not submit documents containing social security numbers. Questions about this form can be directed to the Annual Report Section: 602-542-3285. The Corporation Commission web site is: www.cc.state.az.state.us. AR:0014 Revised 01/05 American LegalNet, Inc. www.USCourtForms.com

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