State of Arizona – Office of the Secretary of State
American Veteran’s Organization
Registration Statement
SEND BY MAIL TO:
Secretary of State Katie Hobbs, Atten: Business Services
1700 W. Washington Street, FL. 7, Phoenix, AZ 85007-2808
OR return this application in person:
PHOENIX - State Capitol Executive Tower,
1700 W. Washington Street, 2nd Fl., Ste. 220
TUCSON
-
rizona State Complex,
400 W. Con
ress, 1st
Fl., Suite 141
Office Hours: Monda
throu
h Frida
, 8 a.m. to 5 p.m., except state holida
s.
DO NOT WRITE IN THIS SPACE
FOR OFFICE USE ONLY
SOSBSVET REV. 1/7/2019
PLEASE NOTE: This filing is not intended to reflect on the quality of services rendered by veteran's organizations.
APPLICANT INSTRUCTIONS
Use this application to register an American Veteran’s Organization soliciting
money or support under A.R.S. § 13-3722(A). Use this form to amend a filed
registration. This application must be signed, dated and notarized. A
person/organization who does not file this registration is guilty of a class 3
misdemeanor under A.R.S. § 13-3722(B).
Processing: 2-3 weeks
Be Accurate: Complete all applicable fields on this form. Write legibly; or
fill out this application online at www.azsos.gov and print it.
Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842.
Website: All forms are available on the Secretary of State’s website,
www.azsos.gov.
Check
Initial Registration
Amendment (Includes name, address or phone number change, or contact change)
1. Name
Name of Organization Organization Date: Month Day Year
2. Headquarters Business Address
Business Address (include street, box or suite number) City State Zip Code
Business Phone Number (include area code)
( )
Website
3. Contact Information
Presiding/Executive Officer, or President, or Director Information
First Name Last Name Title
Primary Organization Contact
First Name Last Name Title
Mailing Address (include street, box or suite number) City State Zip Code
Business Phone Number (include area code)
( )
Website
4. Financial Report
Attach one IRS Form 990 from previous fiscal year (First two pages only or 990-EZ are acceptable).
5. Signature and Nota
ization
OFFICER/PRESIDENT/DIRECTOR (As listed under Section #3 of this registration)
I, the undersigned, being duly sworn, affirm and say that this Organization Registration is complete, true and correct.
Printed First Name of Officer Printed Last Name of Officer Signature of Officer
State of _______________
____)
County of __________________)
Subscribed and sworn to before me this ______ day of
__________ _________.
Mon
th Year
Notary Seal Notary Public Signature
