ARIZONA CORPORATION COMMISSION CORPORATIONS DIVISION ANNUAL REPORT CONFIRMATION http://ecorp.azcc.gov/



Similar documents
ARIZONA. Title 10 - Corporations and Associations

FORM MLOE-1. State of Maryland Office of the Attorney General Securities Division

STATE OF CONNECTICUT INSURANCE DEPARTMENT

AUTHORIZATION TO MAKE REVERSE MORTGAGE LOANS

defined by 17 CFR (a)(2) or 17 CFR 7d-2(a)(2), respectively, or to or for a Canadian

Residential Builders New Application

STATE OF FLORIDA OFFICE OF FINANCIAL REGULATION

DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS

Application for Consumer Finance License

PURSUANT TO GBL 684(1), EXEMPTION REQUEST FOR AN UNREGISTERED U.S

Annex A6. Form F5 Personal Information Form and Authorization to Collect, Use and Disclose Personal Information

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

NEW HOME BUILDER REGISTRATION APPLICATION. Instructions

For more information you may contact Jeannette Martínez at (787) or ext

CREDIT SERVICE ORGANIZATION MAIN OFFICE APPLICATION

DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS TO THE DEBT SETTLEMENT SERVICES PROVIDER REGISTRANT:

DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS TO THE DEBT MANAGEMENT SERVICES PROVIDER REGISTRANT:

Servus Capital Management, LLC FORM ADV PART 2B BROCHURE SUPPLEMENT

Form 312 General Information (Application for Registration of a Foreign Business Trust, Real Estate Investment Trust or Other Foreign Filing Entity)

TOM GREEN COUNTY BAIL BOND INDIVIDUAL SURETY LICENSE APPLICATION

Guidelines on Fit and Proper Criteria for Insurance Undertakings

MIAMI-DADE COUNTY SINGLE EXECUTION AFFIDAVIT AND DECLARATION FORM Rev. November, 2014

Arizona Department of Real Estate (ADRE) Education Division REAL ESTATE SCHOOL CERTIFICATION APPROVAL APPLICATION (ED-100)

Gaming Supplier and Gaming Service Provider BUSINESS DISCLOSURE

ADAM H. PUTNAM COMMISSIONER

BUSINESS PRACTICE QUESTIONNAIRE (Credit Service Organization)

Form 802 General Information (Periodic Report Nonprofit Corporation)

CERTIFICATE OF CONSOLIDATION 134-CONS Filing Fee: $125

Restricted Auto Salesperson Application

ADOPTED REGULATION OF THE DEPARTMENT OF MOTOR VEHICLES. LCB File No. R Effective November 8, 2001

Nationality: Passport No: Occupation: Tel No: Fax No: Nationality: Passport No: Occupation: Tel No: Fax No:

Minnesota Appraisal Management Company License Application Required Forms

APPLICANT INFORMATION (please print or type)

CHAPTER 80G BULLION COIN DEALERS

Trust and Loan Companies Act

St. Mary s University School of Law Application for Admission San Antonio, Texas

Form 304 General Information (Application for Registration of a Foreign Limited Liability Company) Commentary

State of New Jersey Department of Banking and Insurance Third Party Billing Services (TPBS) APPLICATION FOR CERTIFICATION FORM.

Form 301 General Information (Application for Registration of a Foreign For-Profit Corporation)

LICENSING PROCEDURES FOR VIATICAL SETTLEMENT BROKERS AND PROVIDERS

Fit and Proper Assessment Best Practice

Attachment F State Agencies

How to set up a company in South Africa

INSTRUCTIONS FOR PREPAID SERVICE PLANS NEW OR RENEWAL APPLICATIONS

Application for Registration or Renewal of Athlete Agent

AGREEMENT FOR CONSULTING SERVICES (Sponsored Research) Consulting Agreement Number CA###-####-#### IIT PURCHASE ORDER NO. **

Airborne Security & Protective Services Inc.

How To Pass The Marriamandary Individual Tax Preparers Act

STATE OF NEVADA OFFICE OF THE SECRETARY OF STATE. November 9, 2006

PLEASE READ. The official text of New Jersey Statutes can be found through the home page of the New Jersey Legislature

STATE BOARD OF PSYCHOLOGY OF OHIO Nonresident Application for 30-Day Permission to Practice Without a License Revised June 2014

N J DEPARTMENT OF BANKING AND INSURANCE LICENSING SERVICES BUREAU P.O. BOX 473 TRENTON, NJ 08625

FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY NON-PROFIT CORPORATION PERMIT APPLICATION

APPRAISAL MANAGEMENT COMPANY RENEWAL APPLICATION

APPLICATION FOR ADMISSION TO GRADUATE STUDY UNIVERSITY OF MASSACHUSETTS BOSTON

APPLICANT INFORMATION (please print or type)

APPLICATION FORM COMPANY

NEVADA CHAPTER 82 - NONPROFIT CORPORATIONS

AMERICAN TRANSPORTATION HOLDINGS, INC. Disclosure Statement For the Quarter Ended March 31, 2015

Form 201 General Information (Certificate of Formation For-Profit Corporation) Commentary

Department of Public Safety WRECKER SERVICES DIVISION General Requirements Applying for a Wrecker Service License

Initial Application for Debt Management License Attachments and Instructions

CORPORATE SURETY LICENSE APPLICATION

REAL ESTATE BROKER REQUIREMENTS FOR ATTORNEYS

DIRECTORS AND OFFICERS LIABILITY INSURANCE INCLUDING CORPORATE INDEMNITY POLICY APPLICATION PROFIT CORPORATIONS

CHAPTER 332B DEBT SETTLEMENT SERVICES

How To Get A County Contract

Form 313 General Information (Application for Registration of a Foreign Series Limited Liability Company) Commentary

TEXAS BUSINESS & COMMERCE CODE CHAPTER 36. ASSUMED BUSINESS OR PROFESSIONAL NAME SUBCHAPTER A. GENERAL PROVISIONS

STATE OF COLORADO DEPARTMENT OF LAW MEMORANDUM

DIVISION OF CORPORATIONS, BUSINESS AND PROFESSIONAL LICENSING

STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION DIVISION OF FINANCIAL INSTITUTIONS

MANAGEMENT LIABILITY INSURANCE PROPOSAL FORM

State of Tennessee Department of Commerce & Insurance Division of Consumer Affairs

ADMINISTRATIVE PROCEEDING BEFORE THE SECURITIES COMMISSIONER OF MARYLAND * * * * * * * * * * * * * * ORDER TO SHOW CAUSE

FORM 1 APPLICATION FOR BROKER DEALER, LIMITED SERVICE BROKER OR CUSTODIAN LICENCE

DISCLOSURE EXPLANATIONS DOCUMENT UPLOAD

APPLICATION PACKAGE FOR INTERMEDIARY INSURANCE LICENSING (AGENT, BROKER AND SOLICITOR)

UNDERWRITTEN IN FEDERAL INSURANCE COMPANY OR VIGILANT INSURANCE COMPANY A. GENERAL INFORMATION

PART B - BROKER INFORMATION

POLICY 3.1 DIRECTORS, OFFICERS, OTHER INSIDERS & PERSONNEL AND CORPORATE GOVERNANCE

SSM COMPLAINT

Whether at any time during the last 10 years,

International Financial Services Commission STATUTORY INSTRUMENT. No. 67 of 2007

INSTRUCTIONS FOR ANNUAL REPORT FOR A VIATICAL SETTLEMENT BROKER IN THE STATE OF LOUISIANA

Transcription:

Order Information Date Submitted: 03/24/2016 Order Number: 1398332 Fee: $10.00 Total: $10.00 Due Date: 05/23/2016 Corporate Address File Number: 07520745 Address Line 1: 4399 DESERT SPRING TRL City: SIERRA VISTA Zip: 85635 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

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

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

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. 10-202(D), 10-3202(D), 10-1622.A.8 & 10-11622.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

Statement of Bankruptcy or Receivership (A.R.S. 10-1623 & 10-11623) 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