HomeMy WebLinkAboutMunicipal Property Corporation - Annual Reports (14) STATE OF ARIZONA r -s-; P-: -�: ,coRPoR
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CORPORATION ANNUAL REPORT RTIFI ATE F DISCLOSURE °giDITATDElSo;�$c CE C 0 1s,21912
DUE ON OR BEFORE 04/18/2007 FYO 6-0 7 FILING FEE $10 .00
The following information is required by A.R.S. §§10-1622 &10-11622 for all corporations organized pursuant to Arizona Revised
Statutes, Title 10. The Commission's authority to prescribe this form is A.R.S. §§10-121.A. & 10-3121.A.
YOUR REPORT MUST BE SUBMITTED ON THIS ORIGINAL FORM. Make changes or corrections where necessary. Information
for the report should reflect the current status of the corporation. See instructions on page 4 for proper format.
1.
-0760926-0
THE TOWN OF ORO VALLEY MUNICIPAL PROPERTY CORPORAT
% KATHRYN E CUVELIER
11000 N LA CANADA
ORO VALLEY, AZ 85737
Business Phone: [(Business phone is optional.)
State of Domicile: ARIZONA Type of Corporation: NON-PROFIT
2. Statutory Agent: KATHRYN E CUV'ELIER Physical Address, If Different.
Mailing Address: 11000 N LA CANADA Physical Address:
City, State, Zip: ORO VALLEY, AZ 85737 City, State, Zip:
Use this box only if appointing a new Statutory Agent
ACC USE ONLY
Fee $ If appointing a new statutory agent, the new agent MUST consent to that
appointment by signing below.
Penalty $
I, (individual)or We, (corporation or limited liability company)having been designated the new Statutory Agent,
Reinstate $ do hereby consent to this appointment until my removal or resignation pursuant to law.
Expedite $
Signature of new Statutory Agent
Resubmit $
Printed Name of new Statutory Agent
3. Secondary Address:
(Foreign Corporations are
REQUIRED to complete
this section).
v�iv�.1
4. Check the one category below which best describes the CHARACTER OF BUSINESS of your corporation.
BUSINESS CORPORATIONS NON-PROFIT CORPORATIONS
1.Accounting _20. Manufacturing 1. _ Charitable
_ 2.Advertising _21. Mining 2. _ Benevolent
3.Aerospace -22. News Media 3. Educational
4.Agriculture _23. Pharmaceutical 4. _ Civic
5.Architecture _24. Publishing/Printing 5. Political
6.Banking/Finance _25. Ranching/Livestock 6. _ Religious
7.Barbers/Cosmetology _26. Real Estate 7. Social
_ 8.Construction _27. Restaurant/Bar 8. _ Literary
_ 9.Contractor _28. Retail Sales 9. Cultural
_10.Credit/Collection _29. Science/Research 10. _ Athletic
11.Education _.30. Sports/Sporting Events 11. - Science/Research
12.Engineering _31. Technology(Computers) 12. _ Hospital/Health Care
_13.Entertainment _32. Technology(General) 13. _ Agricultural
14.General Consulting _33. Television/Radio 14. Animal Husbandry
_15.Health Care _34. Tourism/Convention Services 15. _ Homeowner's Association
16.Hotel/Motel __35. Transportation 16. _ Professional,commercial
_17.Import/Export _36. Utilities industrial or trade association
18.Insurance _37. Veterinary Medicine/Animal Care 17. _ Other
_19.Legal Services __38. Other
-0760926-0 THE TOWN OF ORO VALLEY MUNI C I PAL PROPERTY CORPORATION Page 2
5. CAPITALIZATION: [(Business Corporations and Business Trusts are REQUIRED to complete this section.)
Business trusts must indicate the number of transferable certificates held by trustees evidencing their beneficial interest in
the trust estate. Please Print or Type Clearly.
5a. Please examine the corporation's original Articles of Incorporation for the amount of shares authorized.
Number of Shares/Certificates Authorized Class Series Within Class (if any)
5b. Review all corporation amendments to determine if the original number of shares has changed. Examine the
corporation's minutes for the number of shares issued.
Number of Shares/Certificates Issued Class Series Within Class (if any)
6. SHAREHOLDERS: (Business Corporations and Business Trusts are REQUIRED to complete this section.)
List shareholders holding more than 20% of any class of shares issued by the corporation, or having more than a 20%
beneficial interest in the corporation. Please Type or Print Clearly.
Name: Name:
NONE ri
Name: Name:
7. OFFICERS Please Type or Print Clearly. You Must List at Least One.
Name: Name:
Title: Title:
Address: Address:
Date taking office: Date taking office:
Name: Name:
Title: Title:
Address: Address:
Date taking office: Date taking office:
8. DIRECTORS Please Type or Print Clearly. You Must List at Least One.
Name: Kent Russell, President Name: Tom Vetrano, Secretary/Treasurer
Address: 11000 N. La Canada Drive Address: 11000 N. La Canada Drive
Oro Valley AZ 85737 Oro Valley AZ 85737
Date taking office: 03/14/2007 Date taking office: 03/14/2007
Name: Name:
Address: Address:
Date taking office: Date taking office:
Please Enter Corporation Name: File number Page 3
9. FINANCIAL DISCLOSURE (A.R.S. §10-11622.A.9)
Nonprofit corporations must attach a financial statement(e.g. income/expense statement,balance sheet including assets, liabilities). All other
forms of corporations are exempt from filing a financial disclosure.
9A. MEMBERS (A.R.S. § 10-11622.A.6)
Only Nonprofit Corporations must answer this question. This corporation DOES J DOES NOT ❑ have members.
10. CERTIFICATE OF DISCLOSURE (A.R.S. §§10-1622.A.8 & 10-11622.A.7)
Has ANY person serving either by election or appointment as an officer,director,trustee, incorporator and/or person controlling or holding more
than 10% of the issued and outstanding common shares or 10% of any other proprietary,beneficial or membership interest in the corporation
been: [Underlined portion pertains to business corporations only]
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?
3. Or are subject to an injunction, judgment, 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,judgment, decree or permanent order involved the violation of:
(a) fraud or registration provisions of the securities laws of that jurisdiction, or
(b)the consumer fraud laws of that jurisdiction, or
(c)the antitrust or restraint of trade laws of that jurisdiction?
1 One box must be marked: I YES NO 0
If"YES",the following information must be submitted as an attachment to this report for each person subject to one or more
of the actions stated in Items 1. through 3. above.
1. Full name and prior names used. 5. Date and location of birth.
2. Full birth name. 6. Social Security Number
3. Present home address. 7. The nature and description of each conviction or judicial action;
4. Prior addresses (for immediate the date and location;the court and public agency involved,and
preceding 7 year period). the file or cause number of the case.
11. STATEMENT OF BANKRUPTCY, RECEIVERSHIP or CHARTER REVOCATION (A.R.S. §§10-202.D.2, 10-3202.D.2, 10-
1623 & 10-11623)
A) Has the corporation filed a petition for bankruptcy or appointed a receiver? One box must be marked: YES ❑ NO J
B) Has any person serving as an officer, director, trustee or incorporator of the corporation served in any such capacity OR held or controlled
over 20% of the issued and outstanding common shares, or 20% of any other proprietary, beneficial or membership interest in any other
corporation which has been placed in bankruptcy, receivership or had its charter revoked,or administratively or judicially dissolved by any state
or jurisdiction?
[Underlined portion pertains to business corporations only] One box must be marked: YES EJ NO CI
If "YES" to A and/or B, the following information must be submitted as an attachment to this report for each person subject to the
statement above.
1. The names and addresses of each corporation and the person or persons involved. (e.g. officer, director, trustee or major
stockholder)
2. The state in which each corporation was a) incorporated b) transacted business.
3. The dates of corporate operation.
4. If any involved person (listed in #1) has been involved in any other bankruptcy proceeding within the past year, the name and
address of each corporation.
5. Date, Case number and Court where the bankruptcy was filed or receiver appointed.
6. Name and address of court appointed receiver.
12. SIGNATURES: Annual Reports must be signed and dated by at least one duly authorized officer or they will be rejected.
I declare, under penalty of law that all corporate income tax returns required by Title 43 of the Arizona Revised Statutes have been
filed with the Arizona Department of Revenue. 1 further declare under penalty of law that I (we) have examined this report and the
:ertificate, i I ing a y atta ments, and to the best of my(our) knowledge and belief they are true, correct and complete.
Name s Date �-7 Name r-; r4 00 Date V/Wo
7
Signature 1 i ' SS - Signaturex77-; 7/7/71-je
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Title • SiE Title .+ rtt-eZi
(Signator(s) must be duly authorized corporate officer(s) liste•, in section 7 of this report.)
Annual Report Instruction Sheet - READ ME! PLEASE FOLLOW THESE DIRECTIONS! Hage 4
This is the instruction sheet for the annual reporting process for all corporations doing business in Arizona. Every corporation must
submit an annual report once a year. This annual report must be correctly filled out and submitted by the assigned due date or
the corporation may be administratively dissolved or have its authority revoked by the State of Arizona. This is the only notice
you will receive. According to A.R.S. §10-1622.F, penalties accrue on business corporation annual reports which are submitted
late (after the due date). Corporations must use the annual report form prescribed by the Corporation Commission. No other
format is allowed.
Please verify the business address and statutory agent and agent address information on page one. Strike out incorrect
information. Correct information should be legibly written above or to the side of struck, incorrect information. Complete the
remainder of the form - use the corporation's original articles of incorporation,amendment documents and corporate minutes as
guides for the stock questions. IMPORTANT:The entirety of this document is public record, including addresses cited.*Use black
or blue ink.
❑ Section 1. All corporations must state their name,address,zip code,domicile state,and type(e.g., nonprofit,business,sole,
professional, business trust). Please list a business phone number.
❑ Section 2. All corporations must state the name and address of the current Statutory Agent for the corporation. Correct
information about the Statutory Agent is vital to the legitimate authority and status of the corporation. The statutory agent
must provide both a physical and mailing address. If statutory agent has a P.O. Box, then they must provide a physical
description of their street address/location. New Statutory Agents must consent to their appointment by signing the
appropriate line. A corporation must amend their records at the Commission anytime the Statutory Agent is changed or
whenever the Agent's designated mailing address changes. Do not sign in the space provided, unless you are appointing
a new agent.
❑ Section 3. Foreign (out-of-state/country) corporations must state their known place of business in this state and in the
jurisdiction in which they are incorporated. List the primary address in Section 1, and the secondary address in Section 3.
❑ Section 4. All corporations must check the category that best describes the character of their corporation in the applicable
business or nonprofit corporation area.
❑ Section 5. All business corporations must indicate the number of shares which they have authorized and issued, the class
and series. All business trusts must indicate the number of transferable certificates held by trustees.
El Section 6. All business corporations must indicate the list of applicable shareholders.
❑ Section 7. Please list all principal officers. All corporations must have at least one duly authorized officer, with address.
El Section 8. Please list all directors. All corporations must have at least one director per A.R.S. §§10-803.A& 10-3803.A.
❑ Section 9. All Nonprofit corporations must file a financial disclosure statement. Nonprofit corporations meet their
obligation by attaching one of the following documents: 1) Their most recent copy of Page 2, Form 99 filed with the Arizona
Department of Revenue; OR 2) A copy of the corporation's Charitable Organization Financial Statement as filed with the
Arizona Secretary of State pursuant to A.R.S. §44-6552; OR 3) A copy of the corporation's Treasurer's Report/Financial
Statement prepared for the current fiscal year; OR 4) A copy of the financial statement prepared for the corporation's
members; OR 5) A statement that the corporation conducted no business in Arizona in the past year. All other types of
corporations are exempt from filing a financial disclosure. All Nonprofit Corporations must also indicate whether or not
the corporation has members.
❑ Section 10. All corporations must check either YES or NO in the Certificate of Disclosure. Those who check the"YES"box
must supply the attachment required as explained in section 10.
❑ Section 11. All corporations must check either YES or NO in the Statement of Bankruptcy, Receivership or Charter
Revocation (both A and B). Those who check the "YES" box must supply the attachment required as explained in section
11.
❑ Section 12. All corporations must read the declarations in this section. If they have complied, and if they have completed
the Annual Report, then the applicable officer(s) listed in section 7 must acknowledge by signing and dating the report.
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❑ Sign, Date & Mail the Check and Annual Report. Business corporations must send $45, Nonprofit corporations $10.
Credit cards are not accepted. Business/profit corporations are subject to penalties if their report is submitted after its
assigned due date. Contact the Annual Report section at 602-542-3285(Phoenix) or 520-628-6560 (Tucson) or by FAX
at 602-542-0082 for the penalty amount due.
MAKE'CHECK PAYABLE TO. . ARIZONA CORPORATION-COMMISSION
MAIL OR DELIVER TO:: • _ : cin Annual'Reparts. . :Corport'Ons-D'v rsio
n
..
. 1300:west Washington
Phoenix, AZ 85007-2929
Seek professional advice from your accountant, attorney, or other knowledgeable source if you need help with any section. The
Commission's web site (www.cc.state.az.us) has more general information about annual reports and reporting requirements.
The Annual Reports Section of the Corporations Division cannot give legal or tax advice, but you may call them with your other
questions regarding this form at (602) 542-3285.
A R:0046
Rev.05/2005