Application For Reservation - Arizona Corporation Commission Page 3

Download a blank fillable Application For Reservation - Arizona Corporation Commission in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Application For Reservation - Arizona Corporation Commission with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ARIZONA KNOWN PLACE OF BUSINESS ADDRESS CHANGE:

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

Yes –

go to number 10 and continue

No –

go to number 9.2 and continue

9.2 If you answered “No” to number 9.1, give the NEW physical or street address (not a P.O. Box) of the known

place of business of the LLC in Arizona:

Attention (optional)

Address 1

Address 2 (optional)

City

State or

Zip

Province

Country

10.

DURATION CHANGE –

check one to indicate the NEW duration or life period of the LLC:

Perpetual

The LLC’s life period will end on this date: __________________ (enter a date – mm/dd/yy)

The LLC’s life period will end upon the occurrence of this event:

_______________________________________________________________________ (describe an event)

11.

ENTITY TYPE CHANGE – if changing entity type, check one and follow instructions:

Changing to a PROFESSIONAL LLC – number 12 must also be completed.

Changing to a NON-PROFESSIONAL LLC (professional LLC becoming a regular LLC).

12.

PROFESSIONAL SERVICES CHANGE – describe the NEW type of professional services the professional LLC will

render:

________________________________________________________

13.

OTHER AMENDMENT – if an amendment was made that was not addressed by the check boxes on this form, then

you must attach to these Articles of Amendment a complete copy of the LLC’s written amendment.

SIGNATURE:

By checking the box marked "I accept" below, I acknowledge under penalty of perjury that this document

together with any attachments is submitted in compliance with Arizona law.

I ACCEPT

Signature

Printed Name

Date (mm/dd/yy)

REQUIRED – check only one and fill in the corresponding blank if signing for an entity:

This is a manager-managed LLC and I am signing

This is a member-managed LLC and I am signing

individually as a manager or I am signing for an entity

individually as a member or I am signing for an entity

manager named:

member named:

Filing Fee: $25.00 (regular processing)

Mail:

Arizona Corporation Commission - Corporate Filings Section

Expedited processing – add $35.00 to filing fee.

1300 W. Washington St., Phoenix, Arizona 85007

All fees are nonrefundable - see Instructions.

Fax:

602-542-4100

Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel for those matters that may pertain

to the individual needs of your business.

All documents filed with the Arizona Corporation Commission are public record and are open for public inspection.

If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.

L015.001

Arizona Corporation Commission - Corporations Division

Rev: 2010

Page 3 of 3