Arizona Profit Certificate Concerning Restated Articles of Incorporation Form

To apply for the reinstatement of a corporation registered with the State of Arizona, official agent must submit this form to the SOS’ office along with a check for the $25.00 filing fee.Download

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C012.001                                           Arizona Corporation Commission\
 – Corporations Division 
Rev: 2010                                                      Page 1 of 2 
DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY. 	
CERTIFICATE CONCERNING  
RESTATED ARTICLES OF INCORPORATION 	
FOR-PROFIT CORPORATION  	
C012i 
1.  ENTITY NAME –  give the exact name of the corporation as currently shown in A.C.C. reco\
rds: 
2.  A.C.C. FILE NUMBER:  ___________________________________________________________ 	
Find the A.C.C. file number on the upper corner of filed documents OR on\
 our website at: 
http://www.azcc.gov/Divisions/Corporations	
3.DATE OF ADOPTION  - date on which the restated Articles were adopted:_________________ 
4.  APPROVAL OF RESTATED ARTICLES  – check 4.1 
or 4.2 (not both) and follow 
instructions: 
4.1	
  The restated Articles were approved by the  board of directors without shareholder  
action , and shareholder approval was not required or no shares have been issue\
d – go 
to number 6.
4.2
The restated Articles contain one or more  amendments that required shareholder  
approval  – continue with number 5. 
5. APPROVAL OF AMENDMENTS BY SHAREHOLDERS– 
if 4.2 is checked, check the  
appropriate box below concerning shareholder approval of the restated Ar\
ticles with  amendments and follow instructions (review the  Instructions C012i 	
for information about voting 
groups):  	
    Approved by shareholders  and
    Approved by voting group(s) only – complete numbers 5.1 and 5.3\
.
5.1  	
Total: 	
Class: 
Class:  Total: 
Class:  Total: 
Class: Series:	
 Read the Instructions	
Series:
Series:
Series:
Series:
Class: 
Total: 
Total: 	
   Approved by shareholders but not voting groups – complete numbers \
5.1 and 5.2. voting groups - complete numbers 5.1, 5.2, and 5.3.
Shares -   list below each class and/or series of shares and the total number of o\
utstanding  
shares for each class or series ( example:  common stock, 100 shares).   If more space is 
needed, check this box     and complete and attach the  Shares Issued Attachment	
 form 
C097. 	
_______________________________________________________________________ \

C012.001                      Arizona Corporation Commission – Corporations Di\
vision 
Rev: 2010                                 Page 2 of 2 	
5.2Shareholder Approval –  all blanks must be filled in: 	
Total votes  
entitled to be  
cast Votes in favor that were sufficient 
for approval of amendments 
Votes against 
amendments 	
5.3
Voting groups  – all blanks must be filled in 
for each voting group.  Review the  
         Instructions C012i	
 for information on voting groups.  If more space is needed, check   	
Voting Group 
(class / series)  Total votes in 
voting group Indisputable votes 
at meeting  Votes in favor that were sufficient 
for approval of amendments  Votes against 
amendments 
6. 
The Restated Articles or Amended and Restated Articles must be attached \
to or  
submitted with this Certificate. 
SIGNATURE: 	
 I ACCEPT 	
Signature                                         Printed Name  Date 
REQUIRED – check only one: 	
   I am the 
Chairman of the Board  
        of Directors  of the corporation  
        filing this document. 	I am a duly-authorized  Officer of 
the corporation filing this document.  	I am a duly authorized 
bankruptcy trustee, receiver, 
or other court-appointed 
fiduciary for the corporation filing 
this document. 	
Filing Fee:  $25.00 (regular processing) 
Expedited processing – add $35.00 to filing fee.  
All fees are nonrefundable - see Instructions.       Mail:     Arizona Corporation Commission - Corporate Filings Section 
            1300 W. Washington St., Phoenix, Arizona  85007 
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 602-54\
2-3026 or (within Arizona only) 800-345-5819.	
this box     and complete and attach the  Voting Attachment 	form C089.
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.