C018.001 Arizona Corporation Commission – Corporations Division
Rev: 2011 Page 4 of 4
14. FOR-PROFITS ONLY – SHARES AUTHORIZED – see Instructions C018i – list the class (common, preferred, etc.) and
total number of shares the foreign corporation is AUTHORIZED to issue. This information must match the original Articles of
Incorporation plus any amendments thereto. If more space is needed, check this box and complete and attach the
Class: Series:
Total:
Par Value:
Class: Series: Total:
Par Value:
15. FOR-PROFITS ONLY – SHARES ISSUED – see Instructions C018i – list each class/series of authorized shares and give the
total number and par value of shares of that class that have been ISSUED. If no shares of that class have been issued, put
the number zero. If more space is needed, check this box
Class:
Series:
Total: Par Value:
Class:
Series:
Total: Par Value:
16. NONPROFITS ONLY – MEMBERS – check one box only:
Does the foreign nonprofit corporation have members?
Yes No
17. PROFESSIONAL CORPORATIONS ONLY – PROFESSIONAL SERVICES – if “professional corporation” is checked in
number 1, briefly describe the type of professional services the corporation will render (examples: accounting, medical,
law firm):
_______________________________________________________________________________________
18. PROFESSIONAL CORPORATIONS ONLY – PROFESSIONAL LICENSE:
By the signature appearing on this document, the foreign professional corporation certifies under penalty of perjury
that at least one-half of its shareholders who are entitled to vote for the election of directors, and at least one-half of
its directors, and its president, are licensed in one or more states to render a professional service described in the
foreign professional corporation’s articles of incorporation.
NOTE: You must attach a statement from the licensing authority in Arizona for the profession
showing that at least one of the professional corporation’s shareholders or employees is
licensed in Arizona to render that professional service. (See A.R.S.
§
10-2245.)
SIGNATURE:
I ACCEPT
Signature Printed Name Date
REQUIRED – check only one:
I am the Chairman of the Board
of Directors of the corporation
filing this document.
I am a duly-authorized Officer of
the corporation filing this document.
I am a duly authorized
bankruptcy trustee, receiver,
or other court-appointed
fiduciary for the corporation filing
this document.
Filing Fee: $175.00 (regular processing)
Expedited processing – add $35.00 to filing fee.
All fees are nonrefundable - see Instructions.
Mail: Arizona Corporation Commission - Corporate Filings Section
1300 W. Washington St., Phoenix, Arizona 85007
Fax: 602-542-4100
Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel for those matters that may pertain
to the individual needs of your business.
All documents filed with the Arizona Corporation Commission are public record and are open for public inspection.
If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.
Shares Authorized Attachment form C087.
and complete and attach the Shares Issued Attachment
form
C097.
By checking the box marked "I accept" below, I acknowledge under penalty of perjury that this
document together with any attachments is submitted in compliance with Arizona law.
