ARIZONA CORPORATION COMMISSION CORPORATIONS DIVISION COVER SHEET USE A SEPARATE COVER SHEET FOR EACH DOCUMENT ARE YOU FILING: New Entity Change to existing entity Re-submission/Correction PLEASE COMPLETE ALL APPROPRIATE SECTIONS Type in Corp/LLC Name: ___________________________________________________________________________ REGULAR SERVICE FEE $100.00 $ 60.00 $ 40.00 $ 50.00 $175.00 $175.00 $175.00 $150.00 $ 25.00 $ 25.00 $ 25.00 $100.00 $ 50.00 $ 0.00 LLCs - Certified Copies* *If copies are for different entities the Expedite fee applies to each entity Good Standing Certificate* *If Good Standing Certificates are for different entities the Expedite fee applies to each entity $45.00 (______) (Enter Quantity) $10.00 Each (______) (Enter Quantity) CORPORATIONS -Certified Copies* *If copies are for different entities the Expedite fee applies to each entity $40.00 (______) (Enter Quantity) $10.00 Each (______) (Enter Quantity) Articles of Domestication Articles of Incorporation (Profit) Articles of Incorporation (Non Profit) Articles of Organization (Limited Liability Company) Application For Authority (Business) Application to Conduct Affairs (Non Profit) Application for New Authority Application for Registration Articles of Amendment Articles of Amendment & Restatement Articles of Correction Articles of Merger/Share Exchange Articles of Merger (Limited Liability Company) Affidavit of Publication EXPEDITED SERVICE FEE $135.00 $ 95.00 $ 75.00 $ 85.00 $210.00 $210.00 $210.00 $185.00 $ 60.00 $ 60.00 $ 60.00 $135.00 $ 85.00 $ 35.00 $5.00 Each (______) (Enter Quantity) FILING TYPE $45.00 (______) (Enter Quantity) Other: _____________________________________ SELECT PAYMENT TYPE: Regular Fee Expedite Fee DO NOT WRITE YOUR CREDIT CARD NUMBER ON THIS FORM! Check Check # ________________ Check Amount $______________ M.O.D. Account MOD Acct # ______________ Mod Amount $ ______________ Cash Cash Amount $______________ Credit Card -- for in-person filings only CC Amount $ ______________ No fee required SELECT ONE RETURN DELIVERY OPTION: Mail Pick Up Fax # (_______)______________________ REQUIRED: Please list the person or company who will be picking up the completed documents. DOCUMENTS WILL BE MAILED IF THEY ARE NOT PICKED UP IN A TIMELY MANNER (APPROXIMATELY TWO WEEKS). Person or Company Name: Phone Number: Address: City: State: Zip: FOR ARIZONA CORPORATION COMMISSION USE ONLY PICK-UP BY: ____________________________________________________ DATE: _________________________ View current process times at: www.azcc.gov/Divisions/Corporations American LegalNet, Inc. www.FormsWorkflow.com CFCVLR REV 03/13/2009