CorpDirect Agents - Annual Report Filing

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Annual Report Filing

Services > Corporate Services > Annual Report Filing

Available to registered clients only. Sign in or register to complete this form.

Complete this form to allow us to file annual reports online in your behalf. The data collected is the majority required on annual reports nationally, except for certain earnings and property ownership data.

Entity details

* Entity name:

* Filing state:

* Origin:

Home state (if foreign):

Charter / file #:

* FEIN: (federal employer identification number)

Orginal formation date:

Date qualified: (if applicable)

* Management type:

LLC taxes

Federal tax method:

Renewal / revocation date: (if applicable)

Regulated investment:

Principal office business address

* Address:

* City:

* State:

* Postal code:

Business mailing address

* Address:

* City:

* State:

* Postal code:

Company details

* 51% minority owned:

* Publicly traded:

Central index key #:

Financials

* Amount of paid in capital:

* Date of paid in capital:

Gross assets and revenue of company

* Gross assets of company everywhere at year beginning:

* Gross assets of company everywhere at year end:

* Date of year end gross assets:

* Gross assets of company in state:

* Gross revenue of company everywhere:

* Gross revenue of company in state:

Current principles

P=President
VP=Vice President
S=Secretary
T=Treasurer

MEM=Member
MGR=Manager
MGRM=Managing Member
Or other if provided

List all positions held for each individual such as "P/S/T/D". Specify additional principals in the Notes section.

* 1st principle:

* 1st title:

2nd principle:

2nd title:

3rd principle:

3rd title:

4th principle:

4th title:

Order processing

* Request certificate:

* Service type:

Shipping: E-mail

Fax

FedEx 2 day

FedEx standard overnight

FedEx priority overnight

Other (specify in notes)

Notes

Notes:

User information

* My name:

Company / firm name:

E-mail address:

Client matter and CorpDirect customer number

Client matter #: (your own reference number)

CorpDirect customer #: (if known)

Agreement

By this indication and the electronic signature below, I authorize CorpDirect Agents to prepare and file my annual report based on the data provided herein, and I accept full responsibility for the data provided.

* I hereby authorize CorpDirect as indicated

* Electronic signature: (type signature of person authorizing)

* Date:

National and International Services
Licensed and Insured (#A9400122)
Member NPRRA

800-388-2123