05-102 Texas Franchise Tax Public Information
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Texas Franchise Tax Public Information Report
05-102
05-102
(Rev.9-15/33)
(Rev.9-15/33)
Professional Associations (PA) and Financial Institutions
Tcode
13196
13196 Franchise
Taxpayer number
Report year
You have certain rights under Chapter 552 and 559,
Government Code, to review, request and correct information
Taxpayer name
Blacken circle if the mailing address has changed.
Mailing address
City
State
ZIP code plus 4
Blacken circle if there are currently no changes from previous year; if no information is displayed, complete the applicable information in Sections A, B and C.
Principal place of business
*1000000000015*
*1000000000015*
*1000000000015*
*1000000000015*
This report must be signed to satisfy franchise tax requirements.
1000000000000
SECTION A
Name
Title
Director
m
m
d
d
y
y
Term
YES
expiration
Mailing address
City
State
ZIP Code
Name
Title
Director
m
m
d
d
y
y
Term
YES
expiration
Mailing address
City
State
ZIP Code
Name
Title
Director
m
m
d
d
y
y
Term
YES
expiration
Mailing address
City
State
ZIP Code
SECTION B
0 percent or more.
State of formation
Percentage of ownership
State of formation
Percentage of ownership
SECTION C
ore in this entity.
State of formation
Percentage of ownership
(see instructions if you need to make changes)
Agent:
City
State
ZIP Code
sheets for Sections A, B and C, if necessary. The information will be available for public inspection.
I declare that the information in this document and any attachments is true and correct to the best of my knowledge and belief, as of the date below, and that a copy of this report has
Title
Date
Area code and phone number
(
)
-
VE/DE
PIR IND
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