ARIZONA CORPORATION COMMISSION CORPORATIONS DIVISION ANNUAL REPORT CONFIRMATION

Transcription

1 Order Information Date Submitted: 03/24/2016 Order Number: Fee: $10.00 Total: $10.00 Due Date: 05/23/2016 Corporate Address File Number: Address Line 1: 4399 DESERT SPRING TRL City: SIERRA VISTA Zip: Business Phone: Secondary Address Address Line 1: Corporation Name: SIERRA SPRINGS COMMUNITY ASSOCIATION OF SIERRA VISTA State: ARIZONA County: COCHISE Type of Corporations: N-PROFIT City: Zip: State: County: Page 1 of 5

2 Statutory Agent Information Statutory Agent: GEORGE MONKEN Address Line 1: 4307 DESERT SPRINGS TRAIL Address Line 1: Agent Physical Address, if different from mailing address. City: State: Zip: Capitalization - Number of Shares/Certificates AUTHORIZED -Number of Shares/Certificates ISSUED- Shareholders holding more than 20% interest Page 2 of 5

3 Officers Officer Name: GEORGE MONKEN Address Line 1: 4307 DESERT SPRINGS TRAIL Officer Title: OTHER OFFICER Date Taking Office: 03/15/2016 Officer Name: DAVID CARTER Officer Title: PRESIDENT Date Taking Office: 03/14/2016 Address Line 1: 4593 DESERT SPRINGS TRAIL Officer Name: DAVID VAN ETTEN Address Line 1: 4592 DESERT SPRINGS TRAIL Officer Title: SECRETARY Date Taking Office: 03/14/2016 Officer Name: ALFREDO ACUNA Officer Title: TREASURER Date Taking Office: 03/14/2016 Address Line 1: 4619 DESERT SRINGS TRAIL Officer Name: THERESA RUESS Officer Title: VICE-PRESIDENT Date Taking Office: 03/14/2016 Address Line 1: 4629 DESERT SPRINGS TRAIL Page 3 of 5

4 Directors Director Name: CHAZZ OWEN Date Taking Office: 03/15/2016 Address Line 1: 4601 DESERT SPRINGS TRAIL Director Name: PAUL VALENTIN Date Taking Office: 03/15/2016 Address Line 1: 5160 COLINA WAY Certificate of Disclosure (A.R.S (D), (D), A.8 & A.7) Has ANY person who is currently an officer, director, trustee, incorporator, or who, in a for For-Profit corporations controls or holds more than 10% of the issued and outstanding common shares or 10% of any other proprietary, beneficial or membership interest in the corporation been: 1. Convicted of a felony involving a transaction in securities, consumer fraud or antitrust in any state or federal jurisdiction within the seven year period immediately preceding the execution of this certificate? 2. Convicted of a felony, the essential elements of which consisted of fraud, misrepresentation, theft by false pretenses or restraint of trade or monopoly in any state or federal jurisdiction within the seven year period immediately preceding execution of this certificate? Subject to an injunction, judgement, decree or permanent order of any state or federal court entered within the seven year period immediately preceding execution of this certificate where such injunction, judgement, decree or permanent order involved the violation of: fraud of registration provisions of the securities laws of that jurisdiction, or the consumer fraud laws of that jurisdiction, or the antitrust of restraint of trade laws of that jurisdiction? Page 4 of 5

5 Statement of Bankruptcy or Receivership (A.R.S & ) Has ANY person who is currently an officer, director, trustee, incorporator, or who, in a for For-Profit corporations controls or holds more than 10% of the issued and outstanding common shares or 10% of any other proprietary, beneficial or membership interest in the corporation been: A) Has the corporation filed a petition for bankruptcy or appointed a receiver? B) Has any person who is currently an officer, director, trustee or incorporator, or who, in a For-Profit corporation, controls or holds over 20% of the issued and outstanding common shares, or 20% of any other proprietary, beneficial or membership interest in the corporation, served in any such capacity or held a 20% interest in any other corporation on the bankruptcy or receivership of that other corporation? Online Signature Officer Name: DAVID CARTER Officer Title: PRESIDENT Page 5 of 5