APPLICATION FOR WITHDRAWAL
1. ENTITY NAME: The exact name of the corporation as currently shown in A.C.C. records is: Chailland, Inc.
2. A.C.C. FILE NUMBER: F-1580575-1.
3. FOREIGN DOMICILE : The state or country in which the foreign corporation is incorporated is: Louisiana.
4. TAX CLEARANCE CERTIFICATE (Certificate of Compliance): 4.1 [X] This withdrawal WILL require a Certificate of Compliance from the Arizona Department of Revenue because either the for-profit foreign corporation has transacted business or issued shares in Arizona, or the nonprofit foreign corporation has conducted affairs in Arizona.
5. The FOR-PROFIT foreign corporation certifies under penalty of perjury by the signature appearing below that either it did not commence or it is not transacting business in Arizona, and certifies under penalty of perjury that it surrenders its authority to transact business in Arizona.
6. The NONPROFIT foreign corporation certifies under penalty of perjury by the signature appearing below that either it did not commence or it is not conducting affairs in Arizona, and certifies under penalty of perjury that it surrenders its authority to conduct affairs in Arizona.
7. By the signature appearing below, the foreign corporation (for-profit or nonprofit) hereby revokes the authority of its statutory agent to accept service on its behalf and appoints the Arizona Corporation Commission as its agent for service of process in any proceeding based on a cause of action arising during the time it was authorized to transact business or conduct affairs in this state.
8. REQUIRED: The mailing address to which the Arizona Corporation Commission may mail a copy of any documents or process served on the Commission pursuant to its appointment as the foreign corporation's agent for service of process: Chailland, Inc., Mitchell J. Chailland, P.O. Box 8798, Metairie LA 70011-8798.
9. By the signature appearing below, the foreign corporation (for-profit or nonprofit) hereby agrees to notify the Arizona Corporation Commission in the future of any change in the foreign corporation's mailing address.
I accept and acknowledge under penalty of perjury that this document together with any attachments is submitted in compliance with Arizona law. Date: 3-29-13. /s/ Mitchell J. Chailland. I am a duly-authorized Officer of the corporation filing this document.
3/7, 3/14, 3/21, 2014 editions Arizona Capitol Times