State of Nevada
Department of Business and Industry – Real Estate Division
Office of the Ombudsman for Common-Interest Communities and Condominium Hotels
INSTRUCTION PAGE FOR COMPLETING MASTER ROSTER FORM
The master roster form must be completed and submitted with the annual registration form, remittance notice and payment of the annual unit fees.
ONLY MASTER ASSOCIATIONS need to submit this form with their payment to the Division
Name of master association:
(a) List the current number of units in the master association which are not counted in any sub/SAM or neighborhood within the
community.
List the number of anticipated units the master will have when it is built out
List the master’s Secretary of State corporation file number
List the master’s Secretary of State incorporation date
Please list all sub associations name:
(b) List the current number of units in each sub association.
List the number of anticipated units that each sub will have when it is built out
List the sub’s Secretary of State corporation file number
List the sub’s Secretary of State incorporation date
(c) (A + B = C) Add the recorded number in Number of Units Current for both master, subs, neighborhoods and SAM
to get total of all units required for fees to be submitted for.
*SAM - any community under the master association’s supervision, but has not incorporated with the Secretary of State’s office and functions with the
same board of directors as the master. List the abbreviation of SAM (same as master) in the space designated for the Secretary of State corporation
number.
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