Annual Report Form Agricultural Co-Operative Act Page 2
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6SECTION A:
General Statement of Business Operations
1. Principal commodities, or products, handled by the cooperative: _______________________________________
____________________________________________________________________________________________
2. The cooperative has offices in the following states: __________________________________________________
____________________________________________________________________________________________
Stock Association
Non-Stock Association
Number of Stockholders:
Number of Members:
Capital Stock Paid Up:
Membership Fees:
SECTION B:
Officers and Directors (attach a separate sheet if additional space is needed)
Name:
President
Telephone # and Extension
E 911 Address (physical street location):
U. S. Postal Address (P. O. Box, etc.):
City:
State:
County:
Zip Code:
Vice-President / Secretary /
Telephone # and Extension
Name:
Treasurer / Director (Circle One)
E 911 Address (physical street location):
U. S. Postal Address (P. O. Box, etc.):
City:
State:
County:
Zip Code:
Name:
Telephone # and Extension
Vice-President / Secretary /
Treasurer / Director (Circle One)
E 911 Address (physical street location):
U. S. Postal Address (P. O. Box, etc.):
City:
State:
County:
Zip Code:
Name:
Vice-President / Secretary /
Telephone # and Extension
Treasurer / Director (Circle One)
E 911 Address (physical street location):
U. S. Postal Address (P. O. Box, etc.):
City:
State:
County:
Zip Code:
Name:
Vice-President / Secretary /
Telephone # and Extension
Treasurer / Director (Circle One)
E 911 Address (physical street location):
U. S. Postal Address (P. O. Box, etc.):
City:
State:
County:
Zip Code:
Name:
Vice-President / Secretary /
Telephone # and Extension
Treasurer / Director (Circle One)
E 911 Address (physical street location):
U. S. Postal Address (P. O. Box, etc.):
City:
State:
County:
Zip Code:
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