Form Crd-01 - Annual Report / Annual Fees printable pdf download

ANNUAL REPORT / ANNUAL FEES

(PLEASE TYPE OR PRINT CLEARLY IN INK)

The following is a list of Cooperatives and Associations which are required under Arkansas law to file an annual report

and if applicable, pay a fee to the office of the Secretary of State. Please complete the information and return the report

along with the required fee payable to the Arkansas Secretary of State.

Name of Cooperative or Association: __________________________________________________________________

Tax Mailing Address: ______________________________________________________________________________

________________________________________________________________________________________________

Contact Person: _____________________________________ Phone Number: ________________________________

E-mail Address: ___________________________________________________________________________________

PLEASE CHECK ONE OF THE FOLLOWING

□

Agricultural Cooperative Association

A.C.A. Section §2-2-123

ANNUAL FEE - $10.00

□

Electrical Cooperatives – DUE BEFORE July 1 OF EACH YEAR

A.C.A. Section §23-18-329

ANNUAL FEE - $10.00 per 100 members or fractional thereof

Number of members:

Fee:

□

Marketing Association (PLEASE SUBMIT THESE REQUIREMENTS BY ATTACHMENT.)

A.C.A. Section §2-2-422 – Annual Report – NO FEE

Principal place of business:

Provide a general statement of the business operations during the fiscal year showing:

a. The amount of capital stock paid up and the number of stockholders of the stock association; or the number of

members and amount of membership fees received if a non-stock association;

b. The total expense of operations;

c. The amount of indebtedness or liability; and

d. A balance sheet

□

Cooperation Association

A.C.A. Section §4-30-114 – Annual Report – NO FEE

Name of Stockholders and amount of stock owned by each:

Name

Stock Owned

___________________________________________________ ____________________________________________

Attach separate list if necessary

□

Other - Association Type and Authority: __________________________________________________________

________________________________________________________________________________________________

CRD-01 Rev. 10/07

Form Crd-01 - Annual Report / Annual Fees