Arkansas Secretary of State
M
M
ark
artin
State Capitol • Little Rock, Arkansas 72201-1094
501-682-3409 •
Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock
Annual Report for Nonprofit Corporation
(PLEASE PRINT OR TYPE CLEARLY IN INK)
Report due August 1st
1. The name of the nonprofit corporation is: ___________________________________________________________________
2. The state or foreign country under whose laws the corporation was incorporated is:_______________________________
3. a. Registered agent for service of process: Name____________________________________________________________
b. Street address of Registered Agent, in the state of Arkansas: _______________________________________________
________________________________________________________________________________________________________
4. Corporation’s principal office address: ______________________________________________________________________
________________________________________________________________________________________________________
5. Principal officers:
Name
Address
________________________________________
_________________________________________________________
________________________________________
_________________________________________________________
________________________________________
_________________________________________________________
6. Board of Directors: (minimum of three (3) persons)
Name
Address
________________________________________
_________________________________________________________
________________________________________
_________________________________________________________
________________________________________
_________________________________________________________
Attach additional directors if needed.
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a
Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.
Executed this _________________ day of _________________, ________________.
_________________________________________ _________
__________________________________________________
Signature and Title of Governor (Authorized Director or Officer)
Printed Name of Governor (Authorized Director or Officer)
Submit by Email
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NO FEE
NP-AR Rev. 03/08
the "Submit by Email" button to function.