Form Bra-25 - Two-Year Report For Foreign & Domestic Business & Professional Corporation
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District of Columbia Government
Corporations Division
PO Box 92300
Washington DC 20090
BRA-25 BUSINESS.
Form Version 3, 12-31-09.
Two-Year Report for Foreign & Domestic Business & Professional Corporation.
Year of Filing:
File Number:
Use this form to file a two-year report for a domestic or foreign for-profit corporation.
Date of Filing:
Filing Fee:
1. Entity Name.
2. Organized under the laws of which state or country.
3. If this is a foreign corporation, address of principal office in state or
4. Name of Registered Agent and address of registered office in DC
country where it is organized.
5. Brief statement of business affairs conducted in DC.
6. If this is domestic corporation, address of principal office in DC.
7. List all corporation directors and officers (attach list if needed)
TITLE
NAME
ADDRESS
NO. OF
PAR VALUE PER
SERIES
DOMESTIC FOR-PROFIT CORPORATIONS: ANSWER 8-9
CLASS
SHARES
SHARE
8. Aggregate number of shares corporation has authority to issue
9. Aggregate number of shares issued
FOREIGN FOR-PROFIT CORPORATIONS: ANSWER 12-14
12. Is corporation in good standing in state / country where it
10. Date Organized
11. Term of existence authorized
is organized?
Yes
No
PROFESSIONAL CORPORATIONS ONLY;
Domestic Professional Corporations - Answer 13 and 14A; Foreign Professional Corporation - Answer 14B.
13. Attach the names and addresses, including street and number of all shareholders for Domestic Professional Corporation.
14A. Attach a statement signed by an officer of Domestic Professional Corporation that each shareholder, director and officer of
the corporation is currently licensed to render a professional service for which the corporation is organized.
14B. Attach a letter on company's letterhead that lists the corporate employees that perform professional services in the District
of Columbia and their license information.
15. Select corporate officer executing this form:
16. Signature
President / Vice-President
Secretary / Assistant Secretary
Treasurer / Assistant Treasurer
If you sign anywhere on the Two-Year Report Form, you agree that you understand that anyone who makes a false statement anywhere
on it can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405.
Mail all forms and required
payment to:
Department of Consumer and Regulatory Affairs
Corporations Division
PO Box 92300
Washington, DC 20090
Phone: (202)
442-4400
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