Form CDF-03 "Health SPA Consumer Protection Act" - Arkansas

What Is Form CDF-03?

This is a legal form that was released by the Arkansas Secretary of State - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2018;
  • The latest edition provided by the Arkansas Secretary of State;
  • 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 CDF-03 by clicking the link below or browse more documents and templates provided by the Arkansas Secretary of State.

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Download Form CDF-03 "Health SPA Consumer Protection Act" - Arkansas

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Arkansas Secretary of State
1401 W. Capitol, Suite 250, Little Rock, AR 72201
John Thurston
501-682-3409 • www.sos.arkansas.gov
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class
C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.
NOTE: Subsequent annual reports may be filed within thirty (30) days of the anniversary date of this filing.
Health Spa Consumer Protection Act
Act 204 of 1989 and Arkansas Code Annotated §4-94-101 et seq.
Annual Registration Statement
Date:
Name of Health Spa:
Street Address:
The name and addresses of all officers, directors and stockholders of the Health Spa as follows:
Position Held
Address
Name
(Attach separate list if necessary)
Name of Health Spa's parent corporation, if applicable:
Street Address:
The names and street addresses of all officers, directors and stockholders of the Health Spa's parent corporation are as follows:
Name
Position Held
Address
(Attach separate list if necessary)
The types of facilities available are as follows:
Name, street address and telephone number of a contact person responsible for filing annual registration:
NAME
(Signature of Contract Person)
STREET ADDRESS
(Telephone Number)
ADDRESS:
City
State
ZIP
CFD-03 Rev. 11/18
(Please Submit in Duplicate)
Arkansas Secretary of State
1401 W. Capitol, Suite 250, Little Rock, AR 72201
John Thurston
501-682-3409 • www.sos.arkansas.gov
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class
C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.
NOTE: Subsequent annual reports may be filed within thirty (30) days of the anniversary date of this filing.
Health Spa Consumer Protection Act
Act 204 of 1989 and Arkansas Code Annotated §4-94-101 et seq.
Annual Registration Statement
Date:
Name of Health Spa:
Street Address:
The name and addresses of all officers, directors and stockholders of the Health Spa as follows:
Position Held
Address
Name
(Attach separate list if necessary)
Name of Health Spa's parent corporation, if applicable:
Street Address:
The names and street addresses of all officers, directors and stockholders of the Health Spa's parent corporation are as follows:
Name
Position Held
Address
(Attach separate list if necessary)
The types of facilities available are as follows:
Name, street address and telephone number of a contact person responsible for filing annual registration:
NAME
(Signature of Contract Person)
STREET ADDRESS
(Telephone Number)
ADDRESS:
City
State
ZIP
CFD-03 Rev. 11/18
(Please Submit in Duplicate)