Nonprofit Corporation

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

1. ENTITY NAME

Please provide 3 choices for the name, in order of preference, so in the event your preferred choice is not available we can proceed with your next choice. (A corporate name must contain the word "corporation," "company," "incorporated," or "limited," or an abbreviation of one of these words)

1st Choice*

2nd Choice

3rd Choice

2. CHARACTER OF AFFAIRS - briefly describe the character of affairs the corporation initially intends to conduct in Arizona. NOTE that the character of affairs that the corporation ultimately conducts is not limited by the description provided.

3. MEMBERS – check one:

The corporation WILL have members.
The corporation WILL NOT have members.

4. ARIZONA KNOWN PLACE OF BUSINESS ADDRESS:

4.1 Is the Arizona known place of business address the same as the street address of the statutory agent?

Yes
No

Attention (optional)

Name

Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Directors

List the name and business address of each and every Director of the corporation.

List of Directors

Name	Address	Actions

There are no Entries.

Statutory Agent

A Statutory Agent can be an individual (individual must be a permanent, full-time resident of the State of Arizona), or an Arizona corporation or LLC, or a foreign corporation or LLC that is authorized to transact business in Arizona. A corporation cannot be its own Statutory Agent – it must appoint someone apart from itself.

Statutory Agent Name (required)

First Last

Attention (optional)

Name

Physical Address

If an individual is appointed as the statutory agent, they must have a permanent, full-time physical or street address in the State of Arizona.

Street Address Address Line 2 City State ZIP Code

6.2 OPTIONAL – mailing address in Arizona of statutory agent (can be a P.O. Box). If the statutory agent is an individual, the mailing address must be in Arizona.

Attention (optional)

Name

Mailing Address

Street Address Address Line 2 City State ZIP Code

Incorporators

List the name and address of each and every incorporator - minimum of one is required.

Name

First Last

Address

Address 1 Address 2 (optional) City State Zip Country

Name

Name Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Application Fee

Price:

Please select an additional service that you wish to have processed

Priority Request / Rush Processing + $75

Total

$0.00

Consent

I agree

I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.

NAME:*

Type your full name to sign this secure webform

Signature*

CAPACITY OF PERSON SIGNING (E.G., AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)

Authorization*

I agree

I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected applications. I understand that my application will be processed in the order in which it is received by Corporation Center, a private fee-for-service company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Corporation Center’s no refund policy.

Credit Card

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