Form 630 - Profit Corporation Annual Report For The Year Page 2
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1
2INSTRUCTIONS FOR FILING
A PROFIT CORPORATION ANNUAL REPORT – Form 630
To avoid possible delays, please read all instructions carefully before completing the report.
___________________________________________________________________________________________________________
All sections, including the signature and date, must be completed; otherwise, the report will be returned to you. To file this
report online using Visa, MasterCard, or American Express, visit and simply click “Annual Reports” under the
File Online column. Make checks payable to the Rhode Island Secretary of State.
FOR IMAGING PURPOSES, THE REPORT MUST BE TYPED OR PRINTED LEGIBLY. The report must be signed and dated. It shall
be executed on behalf of the corporation by an authorized representative; or, if the corporation is in the hands of a receiver or trustee, it
shall be executed on behalf of the corporation by the receiver or trustee.
Annual Reports are to be filed annually between the first day of January and the first day of March, but in no event should they be
submitted for filing more than sixty (60) days prior to the commencement of the filing period. Failure to file the report and filing fee may
result in revocation of the Certificate of Incorporation or the Certificate of Authority.
An annual report must be filed even though the corporation may not be actively engaged in business at the time the report is due.
Should you wish to dissolve or withdraw the corporation, please contact this office for the proper procedure.
In accordance with R.I.G.L. 7-1.2-1501(e), each corporation failing or refusing to file its annual report within thirty (30) days after the
time prescribed by law (R.I.G.L. 7-1.2-1501(c&d)) is subject to a penalty fee of $25.00.
In order to accurately complete this form, please log onto our corporate database at to view your entity sum-
mary screen or to obtain a copy of your last annual report filing.
___________________________________________________________________________________________________________
Section 1 .
List your Rhode Island entity identification number. Please include this number on your check and refer to it in any future
correspondence or filings with the Business Services Division.
Section 2.
List the exact corporate name as it appears on the Articles of Incorporation or latest amendment. If the corporate name
has changed, an amendment must be filed with this office. Articles of Amendment forms (Domestic Corporations) or
Amended Certificate of Authority forms (Foreign Corporations) can be filed online using Visa, MasterCard, or American
Express, visit and simply click “Business Filings” under the File Online column or a paper form
can be obtained by selecting “Business Forms” under the Forms column. Of course, we will provide a hardcopy of the
form upon request by calling 401-222-3040.
Section 3.
Provide the address of the principal office of the corporation.
Section 4.
Provide the telephone number of the principal office of the corporation.
Section 5.
List the state or country of incorporation. If the information is incorrect on your entity summary screen, please contact this
office.
Section 6.
Provide a brief statement of the character of business in which the corporation is actually engaged in this state. If the cor-
poration is inactive, this section must still be completed.
Section 7 .
List the names and respective addresses of the officers of the corporation on the form. Do not leave areas blank. If the
answer is none, write “none.” If additional space is needed, attachments will be accepted. Check the appropriate box on
the front of the annual report if submitting an attachment. Attachments must include the identification number of the corpo-
ration.
Section 8.
List the names and respective addresses of the directors of the corporation on the form. Do not leave areas blank. If the
answer is none, write “none.” If additional space is needed, attachments will be accepted. Check the appropriate box on
the front of the annual report if submitting an attachment. Attachments must include the identification number of the corpo-
ration.
Section 9.
The corporation’s exact number of authorized shares is of record in this office and can be found on the entity summary
screen. If there has been a change in the authorized shares of a domestic corporation, Articles of Amendment must be
filed. If there has been a change in the authorized shares of a foreign corporation, contact our office at 401-222-3040 for
filing instructions.
Section 10. Provide the number of issued shares along with the class, series and par value on the form. Do not leave this area blank.
If the answer is none, write “none.”
Form No. 630
Revised: 01/2012
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