Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 07 - Board of Chiropractic Examiners › Article 14 - BUSINESS ENTITIES › Section R4-7-1404 - Business Entity Registration Renewal: Issuance, Reinstatement

Current through Register Vol. 30, No. 28, July 12, 2024
A. A business
				entity registration expires on June 1 of each year.
B. Under A.R.S. §
									32-934(C),
				a Business Entity Registered under A.R.S. Title 32, Chapter 8, shall renew the
				registration every year before June 1.
C. The business entity registration renewal
				application shall be returned to the Board office on a business day. The Board
				shall deem the business entity registration renewal application package
				received on the date that the Board stamps on the package as the date the
				package is delivered to the Board office.
D. To complete a registration renewal
				application, a business entity shall provide the following information and
				documentation:
1. The name of the business
				entity.
2. The current addresses,
				phone numbers, and fax numbers for each facility requiring registration under
				this Chapter.
3. Notice of any
				change of owners, officers or directors, to include any additions and/or
				deletions with the date of the change for each individual, and notice of any
				change in home address, office address and phone numbers for owners, officers
				or directors with the date of the change for each individual.
4. The name and license number of each doctor
				of chiropractic employed with, contracted with, or otherwise affiliated with
				the business entity per Section
				R4-7-1401(A),
				to include any affiliation through a franchise.
5. The record of any professional
				disciplinary investigation or action taken against an owner, officer or
				director in this or any other jurisdiction within the last 12 months.
6. Any record of an owner, officer or
				director being convicted of, pleading guilty to, or pleading nolo contendere to
				a misdemeanor or a felony, even if the record of the conviction or plea was
				sealed or expunged or the conviction was set aside or forgiven, within the last
				12 months and any record of an arrest, investigation, indictment within the
				last 12 months.
7. A statement
				attesting that the contract or any other form of agreement with the doctors of
				chiropractic has not changed, or if the contract or agreement has changed, a
				copy of any new or amended contract or agreement.
8. Report any change in the status of the
				business entity's license or permit to own and operate a business in the State
				of Arizona.
9. The renewal fee of
				$200 plus a $25 fee for each duplicate Board issued renewal certificate for the
				purpose of compliance with
				R4-7-1402.
				A business entity applying for renewal for the first time shall pay a prorated
				fee according to A.R.S. §
										32-934(C).
10. The name, address, phone number, fax
				number and email for a contact person.
11. The original signature of the delegated
				contact person attesting to the truthfulness of the information provided by the
				business entity. All owners, officers or directors also remain responsible for
				the accuracy and truthfulness of the application. A stamped signature will not
				be accepted for the purpose of a complete application.