Form C&s 314 - Professional Service Corporation - List Of Shareholders

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C&S 314 (Rev. 1/00)
Identification Number
PROFESSIONAL SERVICE CORPORATION
LIST OF SHAREHOLDERS
SUBMIT ONE COPY WITH YOUR MICHIGAN INFORMATION UPDATE FOR YEAR_______
NAME OF CORPORATION________________________________________________________________
Section 15, Act 192, P.A. of 1962, as amended, requires that the annual report, Information Update, shall list the
names and post office address of all shareholders.
The corporation certifies that the corporation meets the requirements of the act and the names and post office addresses
of all shareholders of the corporation are:
Name
Post Office Address
Name
Post Office Address
Name
Post Office Address
Name
Post Office Address
Post Office Address
Name
Name
Post Office Address
Name
Post Office Address
Name
Post Office Address
Name
Post Office Address
Name
Post Office Address
Name
Post Office Address
Name
Post Office Address
Name
Post Office Address
Post Office Address
Name
Name
Post Office Address
Post Office Address
Name
Name
Post Office Address
Post Office Address
Name
Post Office Address
Name
Name
Post Office Address
Name
Post Office Address

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