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Angel Small Business Application 1 14 09
Arizona Department of Commerce
SMALL BUSINESS CAPITAL INVESTMENT
(Angel Investment Program)
REQUEST FOR CERTIFICATION AS
A QUALIFIED SMALL BUSINESS
(Under A.R.S. § 41-1518)
Note: For purposes of this program, “personal services” and “professional services” are defined as follows.
Business activities which meet these definitions are NOT eligible for this program.
“Personal services” means an economic service involving either the intellectual or manual labor of the server rather than a salable product
resulting from the service provider’s skill.
“Professional services” means a service rendered by a person licensed, certified or otherwise regulated under Title 32 of the Arizona Revised
Statutes and also includes, but is not limited to, marketing, advertising, journalism, publishing or services to these industries; legal services or
services to the legal industry; arbitration, consulting, management or planning services; construction management; historians; educational
consultants; teaching; computer information management; designing; and financial services.
Section A: Small Business Information
Has the applicant received an investment for which an investor
has submitted an application for an authorization of tax credits?
FEIN or TIN
City, State, Zip
How is the business registered with the Secretary of State,
the County Recorder or the Corporation Commission?
Date of registration?
Has the small business operated under any other name since August 2005?
(If yes, Commerce may request additional information.)
Please indicate if the small business is engaged in one of the following.
Environmental Sciences or