Annual Corporation Franchise Tax Report - Arkansas Secretary Of State - 2010
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1Charlie Daniels, Arkansas Secretary of State
ANNUAL CORPORATION FRANCHISE TAX REPORT 2010
For the year ending 12/31/2009
Reports and Taxes are due on or before May 1, 2010. Penalty and Interest will be due for reports if the United States Postal Service’s
postmark is after the deadline. Complete this report online at or sign in ink and mail to the address
listed below.
1.
Correct any information, if needed, in space provided below
2.
Tax contact name: ____________________________________
Save time, file online at anytime
Address: ____________________________________________
day or night at
Address Line 2: _______________________________________
.
City, State, Zip: _______________________________________
Phone # of tax contact: _________________________________
Date of Qualification: _______________________________
E-mail address: _______________________________________
State of Incorporation: ______________________________
Required Information
Nature of Business: ________________________________
Federal Tax ID# ______________________________________
3.
___A
4, 5 & 6
LL OF THE INFORMATION IN SECTION
HAS
BEEN VERIFIED AND HAS BEEN FOUND TO BE EXACTLY THE
4A.
Registered Agent Information:
.
SAME AS LAST YEARS REPORT
Name: ______________________________________
____
5.
TOTAL AUTHORIZED CAPITAL STOCK:
Address 1: _______________________________________
(See Instruction 13)
Address 2: _______________________________________
NUMBER OF SHARES
PAR VALUE EACH
City, State, Zip: ___________________________________
*a
$
Principal Office Information:
*b
$
Address: ________________________________________
*c
$
City, State Zip: ___________________________________
NO PAR VALUE =$25 PER SHARE
4B.
6.
ISSUED AND OUTSTANDING CAPITAL STOCK:
Current names of corporate governors:
(See Instruction 14)
President: ______________________________________
NUMBER OF
PAR VALUE EACH
$ TOTAL
Vice-President: __________________________________
SHARES
Secretary: ______________________________________
*a
X $
= $
Treasurer: ______________________________________
*b
X $
= $
Controller: ______________________________________
*c
= $
X $
No PV=$25 per share
Tax Preparer: ____________________________________
= $
*d
(Add 6a +6b + 6c) TOTAL:
7.
ARKANSAS ASSETS
÷
TOTAL ASSETS
=
PERCENTAGE
X AMOUNT FROM LINE 6D = ARKANSAS CAPITOL STOCK
X .003
=
TAX DUE
MINIMUM TAX DUE $150 • IF LESS THAN $150 PAY $150 • Corporations Without Authorized Stock Pay $300.00
I declare, under the penalties of perjury, that the foregoing statements are true to the best of my knowledge and belief.
Signature________________________________________ Executed this _________ day of __________________, ____________
An officer or tax preparer listed in 4B above must sign this form in ink
(Day)
(Month)
(Year)
Due on or before May 1, 2010– Penalty and Interest due after May 1, 2010
You may file this electronically over the Internet @
Remittance must accompany this report • Make Checks Payable to Arkansas Secretary of State
Phone 501-682-3409 or 1-888-233-0325
Mail to: Business and Commercial Services Division • P.O. Box 8014 • Little Rock, Arkansas 72203-8014
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