Free RECMODACCT - Arizona

PHOENIX OFFICE
1300 West Washington Phoenix, Arizona 85007-2929 Phone: (602) 542-3026 Toll Free (AZ only): 1-800-345-5819

TUCSON OFFICE
400 West Congress, Suite #221 Tucson, Arizona 85701-1347 Phone: (520) 628-6560 Toll Free (AZ only): 1-800-345-5819

www.azcc.gov

ARIZONA CORPORATION COMMISSION CORPORATIONS DIVISION

www.azcc.gov

PROCEDURE FOR OPENING A "MONEY-ON-DEPOSIT ACCOUNT"

1.

The attached Public Records Reproduction Request form must be completed and filed.

2.

Provide a list of the authorized individuals who will utilize the account. · · · A contact person Phone and fax number E-mail address if possible

3.

Provide a check made payable to the Arizona Corporation Commission

4.

Requests for opening a Money - On - Deposit Account will be accepted via mail or hand delivered to the following address:

Arizona Corporation Commission Corporations Division Records Section 1300 West Washington Street, Room 101 Phoenix, AZ 85007 ATTN: Records Section Supervisor

Upon receipt of your MOD account request you will be notified of your account number via mail.

RecModacct Rev 11/2007

Date: _____________________
Records Section, Corporations Division Arizona Corporation Commission 1300 West Washington Room 101 Phoenix, AZ 85007 RE: MONEY-ON-DEPOSIT ACCOUNT To Whom It May Concern: I would like to open a Money-On-Deposit Account with the Arizona Corporation Commission (pursuant to A.R.S. 10-122.01). Enclosed please find a check in the amount of $_________ for the initial deposit. The following is the information for the new account: Name of Account: _______________________________________________________ Address: __________________________________________________________ __________________________________________________________ __________________________________________________________ Contact person: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Authorized User(s): _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Telephone Number: Email: ____________________ Fax Number: __________________

_________________________________________________

Signature: ______________________________________________________________

Print Name: _____________________________ Title: __________________________
RecModacct Rev 11/2007
1300 WEST WASHINGTON, PHOENIX, ARIZONA 85007-2929 / 400 WEST CONGRESS STREET SUITE #221, TUCSON, ARIZONA 85701-1347 www.azcc.gov - 602-542-3026

STATE OF ARIZONA PUBLIC RECORD REPRODUCTION REQUEST INFORMATION AND INSTRUCTION SHEET REQUESTING PARTY: PLEASE READ AND NOTE THE FOLLOWING INFORMATION AND INSTRUCTIONS.

Pursuant to A.R.S. §39-121.03, Laws 1977, Ch. 54, §3 (effective May 17, 1977) Amended by Laws 1985, Ch.213, §4, any person requesting copies, printouts or photographs of public records must provide a STATEMENT as to whether the use of such reproductions will be for COMMERCIAL or NON-COMMERCIAL purposes. A person providing a statement that the reproductions will not be used for a commercial purpose, will be furnished such reproductions at a reasonable fee, not exceeding a commercial rate for like service. A person providing a statement setting forth the commercial purpose for which the reproduction will be used, may be furnished such reproductions at the discretion of the custodian of the records for a charge reflecting the following: 1. 2. A portion of the cost to the State for obtaining the documents or records to be reproduced. A reasonable fee covering the cost of time, equipment and personnel in making the reproduction.

If the custodian of a public record believes that the commercial purpose of a reproduction is a misuse of public records or an abuse of the right to receive them, he or she may refuse a request for reproduction of such record for said commercial purpose and may request the Governor to prohibit the furnishing of reproductions for such commercial purposes by Executive Order. If an Executive Order is not issued within thirty (30) days of the custodian's application, the requesting party will be furnished such reproductions for the commercial purpose set forth in his or her statement. (A.R.S. §39-121.03.B.) "Commercial purpose" is broadly defined by the Act as "any purpose in which the purchaser can reasonably anticipate the receipt of monetary gain from the direct or indirect use of such public record." (A.R.S. §39-121.03.D.) "Commercial purpose" includes copies of records for sale or resale and copies of printouts of names and addresses for purposes of solicitation of business. IMPORTANT: Subsection C of A.R.S. §39-121.03 provides that: "A person who obtains public records for a commercial purpose without indicating the commercial purpose or who obtains a public record for a non-commercial purpose and uses or knowingly allows the use of such public record for a commercial purpose or obtains a public record for a commercial purpose and uses or knowingly allows the use of such public record for a different commercial purpose or obtains a public record from anyone other than the custodian of such records and uses them for a commercial purpose shall in addition to other penalties* be liable to the state or the political subdivision from whom the public record was obtained for damages in the amount of three times the amount which would have been charged for the public record had the commercial purpose been stated plus costs and reasonable attorneys' fees or shall be liable to the state for the amount of three times the actual damages if it can be shown that the public record would not have been provided had the commercial purpose of actual use been stated at the time of obtaining the records." *Perjury is a Class 4 Felony (A.R.S. §13-2702).

1300 WEST WASHINGTON, PHOENIX, ARIZONA 85007-2929 / 400 WEST CONGRESS STREET SUITE #221, TUCSON, ARIZONA 85701-1347 www.azcc.gov - 602-542-3026

STATE OF ARIZONA
PUBLIC RECORDS REPRODUCTION REQUEST

(Required by Arizona Revised Statutes §39-121.03) This Document represents the statement of: _____________________________________________________________________ (Name of requesting Firm/Agency) submitted to the Corporations Division of the ARIZONA CORPORATION COMMISSION ON (Date) provide a copy or other reproduction of certain public record(s) specified below: (Indicate the record(s)you wish to have copied or reproduced.) , requesting that said custodian

INDICATE WHETHER THE RECORD(S) ARE TO BE USED FOR: Commercial Purposes Noncommercial Purposes (Government Agencies only)

I,

_ , understand that I am (Requesting Party) being sold the use of the public records referred to herein and am prohibited from their use for any reason other than as stated above; that at all times these records remain the property of the Arizona Corporation Commission and are subject to return upon demand. I, (Requesting Party) I have read the information and instruction sheet accompanying this form (or A.R.S. §39-121.03 itself) and understand the contents therein. I further declare, under penalty of perjury, that the foregoing is correct and true. _ , declare that

______________________________________________________ (Signature of Requesting Party)

1300 WEST WASHINGTON, PHOENIX, ARIZONA 85007-2929 / 400 WEST CONGRESS STREET SUITE #221, TUCSON, ARIZONA 85701-1347 www.azcc.gov - 602-542-3026

ARIZONA CORPORATION COMMISSION CORPORATIONS DIVISION RECORDS SUBMISSION COVER SHEET
Corporate Records Section Fax Number : ( 602) 542 - 3414

PLEASE SELECT AND COMPLETE ALL THE APPROPRIATE SECTIONS 1 THROUGH 10: Regarding (Name/Proposed name for Corp/LLC): 1. REGARDING (NAME/PROPOSED NAME FOR Corp/LLC) Type in Name: _______________________________________________________________________________________ _______________________________________________________________________________________ 2. Specify The Document (s) Requested: Copy of Articles of Incorporation/Organization Copy of Application for Authority Copy of Amendments Copy of Mergers Copy of Application for New Authority Copy of Annual Report (indicate year)________ Copy of any Limited Liability Company Document Certified Documents for an LLC (per document) Plain Copies Certified Documents for a Corporation Certificate for any purpose Change of Address Other: __________________________ EXTRAS:
Certified Copies ( Certified Copies ( ) (Qty @ $5 each for Corps ) (Qty @ $10 each for LLC's ) (Qty @ $10 ea.)

4. PROCESSING TYPE (SELECT ONE) Expedited ($35.00) (Priority service,
Additional Fee Per Document) Completed as soon as possible. View current processing times at www.azcc.gov/divisions/corporations

Regular

View current processing times at

www.azcc.gov/divisions/corporations

5. SELECT PAYMENT TYPE:
Check Amt Cash Amt MOD Amt 6. NO FEE REQUIRED _ ____ MOD # _______ Check # ______

3.

Good Standing Certificate (

7. OTHER SPECIAL INSTRUCTIONS: ___________________________________________ ___________________________________________ Mail Pick Up Fax #___________________

8. 9.

RETURN DELIVERY OPTION (SELECT ONE):

THE FOLLOWING INDIVIDUAL SHOULD BE CALLED TO PICK UP COMPLETED DOCUMENTS: NAME/SERVICE CO: ____________________________ PHONE: __________________________

10.

ALL DOCUMENTS ARE SUBJECT TO REVIEW BEFORE FILING. ALL FAX FILINGS RECEIVED WILL BE FAXED BACK TO THE CUSTOMER, UNLESS OTHERWISE INDICATED. IF YOU WISH US TO MAIL THE DOCUMENTS BACK TO YOU, PLEASE PROVIDE A RETURN MAILING ADDRESS ON THE LINE (S) BELOW. Business Name: __________________________________ Attn: ___________________________

Address: __________________________________________________________________________ City, State, Zip: _____________________________________________________________________

Pick up by: ___________________________________________
(FOR ACC USE ONLY. Do not fill in this box)
Rec Modacct Rev 11/2007

Date:___________________

1300 WEST WASHINGTON, PHOENIX, ARIZONA 85007-2929 / 400 WEST CONGRESS STREET SUITE #221, TUCSON, ARIZONA 85701-1347 www.azcc.gov - 602-542-3026