Form C016.002 "Corporation Statement of Change of Known Place of Business Address, Principal Office Address, or Statutory Agent" - Arizona

What Is Form C016.002?

This is a legal form that was released by the Arizona Corporation Commission - a government authority operating within Arizona. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the Arizona Corporation Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form C016.002 by clicking the link below or browse more documents and templates provided by the Arizona Corporation Commission.

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Download Form C016.002 "Corporation Statement of Change of Known Place of Business Address, Principal Office Address, or Statutory Agent" - Arizona

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DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.
CORPORATION STATEMENT OF CHANGE
OF KNOWN PLACE OF BUSINESS ADDRESS, PRINCIPAL OFFICE ADDRESS,
OR STATUTORY AGENT
Read the Instructions
C016i
1.
ENTITY NAME – give the exact name of the corporation as currently shown in A.C.C. records:
_________________________________________________________________________________________________
2.
ARIZONA KNOWN PLACE OF BUSINESS ADDRESS:
Give the NEW physical or street address (not a P.O. Box) of the known place of business
of the corporation in Arizona:
Attention (optional)
Address 1
Address 2 (optional)
City
State or
Zip
Province
Country
If you completed 2, is the NEW known place of business address in Arizona
2.1
the same as the street address of the statutory agent?
No
Yes
3.
PRINCIPAL OFFICE ADDRESS - FOREIGN DOMICILE STREET ADDRESS –
see Instructions
C016i
– give the NEW physical or street address (not a P. O. Box) of the foreign corporation
required to be maintained in its state of organization, or, if not so required, of the foreign
corporations statutory agent in its state or country of incorporation:
Attention (optional)
Address 1
Address 2 (optional)
City
State or
Zip
Province
Country
C016.002
Arizona Corporation Commission – Corporations Division
Rev: 7/2017
Page 1 of 3
Clear Form
Print Form
DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.
CORPORATION STATEMENT OF CHANGE
OF KNOWN PLACE OF BUSINESS ADDRESS, PRINCIPAL OFFICE ADDRESS,
OR STATUTORY AGENT
Read the Instructions
C016i
1.
ENTITY NAME – give the exact name of the corporation as currently shown in A.C.C. records:
_________________________________________________________________________________________________
2.
ARIZONA KNOWN PLACE OF BUSINESS ADDRESS:
Give the NEW physical or street address (not a P.O. Box) of the known place of business
of the corporation in Arizona:
Attention (optional)
Address 1
Address 2 (optional)
City
State or
Zip
Province
Country
If you completed 2, is the NEW known place of business address in Arizona
2.1
the same as the street address of the statutory agent?
No
Yes
3.
PRINCIPAL OFFICE ADDRESS - FOREIGN DOMICILE STREET ADDRESS –
see Instructions
C016i
– give the NEW physical or street address (not a P. O. Box) of the foreign corporation
required to be maintained in its state of organization, or, if not so required, of the foreign
corporations statutory agent in its state or country of incorporation:
Attention (optional)
Address 1
Address 2 (optional)
City
State or
Zip
Province
Country
C016.002
Arizona Corporation Commission – Corporations Division
Rev: 7/2017
Page 1 of 3
CHANGE IN EXISTING STATUTORY AGENT ADDRESS – check all that apply
4.
and follow instructions:
STREET ADDRESS CHANGED – complete number 4.1
MAILING ADDRESS CHANGED – complete number 4.2
4.1 NEW STREET ADDRESS – give the NEW
4.2 NEW MAILING ADDRESS – give the NEW
physical or street address (not a P.O. Box)
mailing address in Arizona of the existing
in Arizona of the existing statutory agent:
statutory agent (can be a P.O. Box):
Attention (optional)
Attention (optional)
Address 1
Address 1
Address 2 (optional)
Address 2 (optional)
City
State
Zip
City
State
Zip
5.
CHANGE IN EXISTING STATUTORY AGENT NAME ONLY – if the name only of
the existing statutory agent listed in ACC records has changed, but a new
agent has not been appointed, check the box and give the new name of the
existing statutory agent below:
__________________________________________________________________
NEW
6.
STATUTORY AGENT – if a new statutory agent is being appointed, check the box
and complete the following for the NEW statutory agent:
6.1 REQUIRED – give the name (can be an
6.2 OPTIONAL – mailing address in Arizona of
individual or an entity) and physical or
NEW Statutory Agent (can be a P.O. Box):
street address (not a P.O. Box) in Arizona
of the NEW statutory agent:
Statutory Agent Name
Attention (optional)
Attention (optional)
Address 1
Address 1
Address 2 (optional)
Address 2 (optional)
City
State
Zip
City
State
Zip
6.3
REQUIRED – if you are appointing a new statutory agent, the
Statutory Agent Acceptance
form M002 must be submitted along with this Statement of Change form.
C016.002
Arizona Corporation Commission – Corporations Division
Rev: 7/2017
Page 2 of 3
SIGNATURE – see
Instructions C016i
for who is authorized to make changes:
If the person signing this form is the existing statutory agent changing its own address, then by the
signature appearing below, the existing statutory agent certifies under penalty of law that he or
she has given the corporation named in number 1 above written notice of the address change.
By checking the box marked "I accept" below, I acknowledge under penalty of law that this
document together with any attachments is submitted in compliance with Arizona law.
I ACCEPT
Signature
Printed Name
Date (mm/dd/yyyy)
REQUIRED – check only one:
I am the Chairman of the Board
I am a duly-authorized Officer of
I am a Statutory Agent
changing only my own address
of Directors of the corporation
the corporation filing this document.
and/or my own name.
filing this document.
Filing Fee: None (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.
C016.002
Arizona Corporation Commission – Corporations Division
Rev: 7/2017
Page 3 of 3
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