Foreign Qualification Application - Preparation Worksheet - Arizona

APPLICATION FOR AUTHORITY

Foreign For-Profit Corporation — Arizona Preparation Worksheet

Use this worksheet to collect information for current Arizona Corporation Commission Form C018. It covers a standard foreign for-profit corporation; insurers, nonprofits, professional corporations, and other specialized entity types have additional requirements.

1. ENTITY TYPE AND NAMES

Entity type: ☐ For-profit corporation

Exact name in the state or country of incorporation:

[____________________________________________________________]

Name to be used in Arizona — check one:

• ☐ The foreign name without changes.
• ☐ The foreign name with a corporate identifier added.
• ☐ A fictitious name because the foreign name is unavailable in Arizona.

Arizona entity name, if the second or third box is checked:

[____________________________________________________________]

If a fictitious name is used, attach a board-approved corporate resolution adopting it for Arizona use, certified by the corporation's secretary.

2. FOREIGN DOMICILE, DATE, DURATION, AND PURPOSE

If the duration is perpetual, leave Form C018 item 6 blank; otherwise enter its end date. Form C018 states the corporation's purpose as any or all lawful business or affairs in which corporations may engage in the foreign domicile. State only narrower purpose limitations, if any:

[____________________________________________________________]

Character of business initially intended in Arizona:

[____________________________________________________________]

The character-of-business description does not limit the business the corporation may ultimately conduct.

3. OFFICES AND ARIZONA STATUTORY AGENT

3.1 Foreign-Domicile Principal Office

Provide the physical street address required in the foreign domicile or, if none is required, the street address of the corporation's registered agent there. Do not use a post-office box.

3.2 Arizona Known Place of Business

☐ Same street address as the Arizona statutory agent.

If different, provide an Arizona physical street address; do not use a post-office box.

3.3 Arizona Statutory Agent

The agent's street address may not be a post-office box. Submit the separate Statutory Agent Acceptance, Form M002; the application will be rejected if acceptance is not in the ACC system when examined.

4. DIRECTORS AND PRINCIPAL OFFICERS

List every current director and all principal officers, with usual business addresses. Use Director Attachment C082 or Officer Attachment C085 when needed. Do not include Social Security numbers or dates of birth in the public filing.

4.1 Directors

4.2 Principal Officers

5. FOR-PROFIT SHARE INFORMATION

Authorized-share information must match the original articles and all amendments. Each authorized class and series must also appear in the issued-share table; enter zero if none of that class or series has been issued.

5.1 Authorized Shares

5.2 Issued Shares

Use Shares Authorized Attachment C087 or Shares Issued Attachment C097 if additional rows are required.

6. REQUIRED SUBMISSION PACKAGE

• ☐ ACC Cover Sheet, one for this filing.
• ☐ Completed Application for Authority, Form C018.
• ☐ Certificate of Disclosure, Form C003, dated no more than 30 days before delivery to the ACC.
• ☐ Certified copy of the original articles of incorporation.
• ☐ Certified copies of every amendment to the articles.
• ☐ Authenticated certificate of existence, good standing, or similar document from the foreign domicile, dated no more than 60 days before delivery to the ACC.
• ☐ Statutory Agent Acceptance, Form M002.
• ☐ Corporate resolution adopting an Arizona fictitious name, if applicable.
• ☐ Specialized regulator approval or professional-licensing statement, if applicable.
• ☐ Current filing fee and any selected processing-service fee.

Regular filing fee: $175.00.

Current cover-sheet service additions are $35 expedited, $100 next day, $200 same day, or $400 two-hour service. Confirm availability, cutoffs, and prices on the current cover sheet before filing.

7. SIGNATURE

The signer must check “I ACCEPT,” sign, print the signer's name, date the filing, and select one authorized capacity.

Authorized capacity — check one:

• ☐ Chair of the board of directors.
• ☐ Duly authorized officer.
• ☐ Duly authorized bankruptcy trustee, receiver, or other court-appointed fiduciary.

8. AFTER APPROVAL

8.1 Publication or ACC Database Entry

A.R.S. § 10-1503(D) requires that, within 60 days after approval, a copy of the application be published or the ACC enter approval information in its § 10-130 database. The database route applies only if the corporation's Arizona known place of business is in a county with more than 800,000 people. Otherwise, arrange publication. Follow the approval letter and retain evidence of the completed route. An affidavit of publication may be filed with the ACC; § 10-1503(D) does not require that filing.

8.2 Amendments and Restatements

Within 60 days after an amendment or merger restatement becomes effective, deliver an authenticated copy to the ACC. File Articles of Amendment to Application for Authority if the corporation changes its actual or Arizona name, duration, or domicile, or if a statement in the original application was inaccurate when made.

8.3 Annual Report

File the corporation's annual report and pay the annual fee by the date assigned by the ACC. Later reports are due in the anniversary month on the date determined by the ACC. A written extension request of up to six months must be filed on or before the due date with the annual registration fee. Confirm the assigned date in the ACC entity record.

SOURCES AND REFERENCES

• A.R.S. § 10-1503 — Application for authority to transact business
• A.R.S. § 10-130 — Commission database
• A.R.S. § 10-1504 — Delivery of changes; amended authority
• A.R.S. § 10-1622 — Annual report
• ACC Form C018 — Application for Authority
• ACC Instructions C018i
• ACC Form M002 — Statutory Agent Acceptance
• ACC Form C003 — Certificate of Disclosure
• ACC Cover Sheet