THE FOUNDATION FOR
ANESTHESIA EDUCATION
AND RESEARCH
APPLICATION FOR AUTHORITY TO CONDUCT AFFAIRS IN ARIZONA
The name of the corporation is: The Foundation for Anesthesia Education and Research, A(n) Delaware Nonprofit Corporation.
[X] We are a foreign corporation applying for authority to conduct affairs in the state of Arizona.
1. The exact name of the foreign corporation is: The Foundation for Anesthesia Education and Research. If the exact name of the foreign corporation is not available for use in this state, then the fictitious name adopted for use by the corporation in Arizona is: (blank) (FN).
2. The name of the state, province or country in which the foreign corporation is incorporated is: Delaware.
3. The foreign corporation was incorporated on the 26 day of September, 1986 and the period of its duration is: Perpetual.
4. The street address of the principal office of the foreign corporation in the state, province or country of its incorporation is: Corporation Trust Center, 1209 Orange Street, Wilmington, DE 19801.
5. The name and street address of the statutory agent for the foreign corporation in Arizona is: C T Corporation System, 2394 E. Camelback Road, Phoenix, AZ 85016.
5.a. The street address of the known place of business of the foreign corporation in Arizona IF DIFFERENT from the street address of the statutory agent is: (blank).
5.b. General correspondence should be mailed to the address specified above in section 4 [ ] or section 5a [X].
6. The purpose of the corporation is to engage in any and all lawful business in which corporations may engage in the state, province or country under whose law the foreign corporation is incorporated, with the following limitations, if any: N/A.
7. The names and usual business addresses of the current directors and officers of the foreign corporation are: (Attach additional sheets if necessary.) See Attached. The Foundation for Anesthesia Education and Research. Officers: President: Alan D. Sesler, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Vice Chair: James R. Zaidan, MD, MBA, 520 N. Northwest Hwy., Park Ridge, IL 60068; Secretary: Ronald G. Pearl, MD, PhD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Treasurer: Francis P. Hughes, MD, PhD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Chair: Denham S. Ward, MD, PhD, 520 N. Northwest Hwy., Park Ridge, IL 60068. Board of Directors: Joseph P. Annis, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Arnold J. Berry, MD, MPH, 520 N. Northwest Hwy., Park Ridge, IL 60068; George T. Blike, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; David L. Brown, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Donn M. Dennis, MD, FAHA, 520 N. Northwest Hwy., Park Ridge, IL 60068; James C. Eisenach, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Lee A. Fleisher, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; D. David Glass, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Alexander A. Hannenberg, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Joy L. Hawkins, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Francis P. Hughes, PhD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Keith A. Jones, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; John P. Kampine, MD, PhD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Evan D. Kharasch, MD, PhD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Jeffrey R. Kirsch, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Catherine K. Kuhn, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Mark J. Lema, MD, PhD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Mervyn Maze, MD, MB, CHB, MRCP, 520 N. Northwest Hwy., Park Ridge, IL 60068; Kathryn E. McGoldrick, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Francis X. McGowan, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Ronald G. Pearl, MD, PhD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Armin Schubert, MD, MBA, 520 N. Northwest Hwy., Park Ridge, IL 60068; Alan D. Sessler, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; M. Christine Stock, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Paloma Toledo, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Rebecca S. Twersky, MD, MPH, 520 N. Northwest Hwy., Park Ridge, IL 60068; Charles A. Vacanti, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Denham S. Ward, MD, PhD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Mark A. Warner, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Jeanine P. Wiener-Kronish, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Karen S. Williams, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068; Margaret Wood, MB, ChB, 520 N. Northwest Hwy., Park Ridge, IL 60068; James R. Zaidan, MD, MBA, 520 N. Northwest Hwy., Park Ridge, IL 60068; John M. Zerwas, MD, 520 N. Northwest Hwy., Park Ridge, IL 60068.
8. (Check One) The corporation [X] does [ ] does not have members.
9. The character of business the foreign corporation initially intends to conduct in Arizona is: Educational, scientific and charitable in nature relating to anesthesia care.
DATED this 28th day of Dec., 2010. Signature: /s/ Alan D. Sessler, MD, President.
ACCEPTANCE OF APPOINTMENT BY STATUTORY AGENT The undersigned hereby acknowledges and accepts the appointment as statutory agent of this corporation effective this 29 day of Dec., 2010. C T Corporation System, By: /s/ Jeanne Nelson, Assistant Secretary.
1/21, 1/28, 2/4, 2011 editions Arizona Capitol Times