Incorporate or Form an LLC

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Incorporate or Form an LLC (Additional Information Available by Holding Your Mouse Pointer Over the Data Entry Box) Submit by E-Mail Next Page Print Form Page 1 of 8 Last Page Reset Form Name Address City Country US Howe & Kolodziej, CPAs, PLLC 8580 E Shea Blvd Ste 120 Scottsdale, AZ 85260-6681 Phone: (480) 596-6499 Fax: (480) 596-6494 www.h-kcpa.com State AZ SSN Zip Code Drivers License # E-mail Address: Fax Number State You Wish to Incorporate or Organize In AZ Phone Number Choose Entity Type Expedite Processing? Reserve the Name? Cell Phone TYPE OF ENTITY Non-Profit Corporation For Profit C-Corporation For Profit S-Corporation LLC (Partnership) LLC (Single-Member) LLC (Corporation) LLC (S-Corporation) Payment Method PUBLISH STATE EXPEDITE RESERVE S-CORP TOTAL FEE FEE FEE FEE NAME FEE ELECTION CPA FEE DUE 90 90 90 40 40 40 40 40 60 60 50 50 50 50 35 35 35 35 35 35 35 10 10 10 10 10 10 10 25 25 250 250 250 250 250 250 250 425 445 470 385 385 385 410 Enter New Company Information New Company Information If Corporation, Your Title as Officer of Corp. 1st Choice for Name of New Company 2nd Choice for Name of New Company 3rd Choice for Name of New Company Address of New Company City State AZ Zip Code Incorporator? Page 2 of 8 Board of Directors? % of Company Owned Shares Authorized Shares Issued Business Phone Number Country US Have You Ever Applied for A Federal Employment Identification Number (FEIN) Before? If Yes, Name of Company Applied For Date Applied For Statutory Agent Information Name Address City State AZ Zip Code Phone Number Country US Enter Additional Company Shareholders No Additional Shareholders - Ready to Print and Submit (Additional Information Available by Holding Your Mouse Pointer Over the Data Entry Box) First Page Next Page Last Page No Additional Shareholders - Ready to Print and Submit Page 3 of 8 Additional Shareholders or LLC Members/Managers Name Address City State AZ Zip Code Incorporator? Board of Directors? If Corporation, Title as Officer of Corp. Country US Phone Number % Owned Board of Directors? Check Box if Shareholder Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp. Country US Phone Number % Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp. Country US Phone Number % Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % Owned Check Box if LLC Member Check Box if LLC Manager Page 4 of 8 (Additional Information Available by Holding Your Mouse Pointer Over the Data Entry Box) First Page Next Page Previous Page Last Page Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? Board of Directors? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Check Box if LLC Member Check Box if LLC Manager (Additional Information Available by Holding Your Mouse Pointer Over the Data Entry Box) First Page Next Page Previous Page Last Page Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? Board of Directors? Page 5 of 8 If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Check Box if LLC Member Check Box if LLC Manager (Additional Information Available by Holding Your Mouse Pointer Over the Data Entry Box) First Page Next Page Previous Page Last Page Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? Board of Directors? Page 6 of 8 If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AZ Zip Code Incorporator? If Corporation, Title as Officer of Corp Country US Phone Number % of Company Owned Check Box if LLC Member Check Box if LLC Manager (Additional Information Available by Holding Your Mouse Pointer Over the Data Entry Box) First Page Next Page Previous Page Last Page Name Address City Check Box if Shareholder State AL Zip Code Incorporator? Board of Directors? Page 7 of 8 If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AL Zip Code Incorporator? If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AL Zip Code Incorporator? If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AL Zip Code Incorporator? If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AL Zip Code Incorporator? If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AL Zip Code Incorporator? If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Check Box if LLC Member Check Box if LLC Manager (Additional Information Available by Holding Your Mouse Pointer Over the Data Entry Box) First Page Next Page Previous Page Last Page Name Address City Check Box if Shareholder State AL Zip Code Incorporator? Board of Directors? Page 8 of 8 If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AL Zip Code Incorporator? If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AL Zip Code Incorporator? If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AL Zip Code Incorporator? If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AL Zip Code Incorporator? If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Board of Directors? Check Box if LLC Member Check Box if LLC Manager Name Address City Check Box if Shareholder State AL Zip Code Incorporator? If Corporation, Title as Officer of Corp Country AL Phone Number % of Company Owned Check Box if LLC Member Check Box if LLC Manager

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