Form 104 - Statement Of Cancellation Of Reacquired Shares - 2005

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STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Office of the Secretary of State
Corporations Division
148 W. River Street
Providence, Rhode Island 02904-2615
(401) 222-3040
INSTRUCTIONS FOR FILING
STATEMENT OF CANCELLATION OF REACQUIRED SHARES
Section 7-1.2-601(e) of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory
provision. This form and the information provided are not substitutes for the advice and services of an attorney
and/or tax specialist.
1. A corporation may at any time, by resolution of its board of directors, cancel all or part of the shares of the corporation
of any class or series reacquired by it, other than redeemable shares redeemed or purchased, and in such event a
Statement of Cancellation of Reacquired Shares (Form No. 104) shall be filed with the Office of the Secretary of
State, Corporations Division, at the above address.
2. Upon the filing of the Statement of Cancellation of Reacquired Shares, the shares shall be restored to the status of
authorized but unissued shares, unless the articles of incorporation provide that the shares, when redeemed or
purchased, shall not be reissued, in which case the filing of the Statement of Cancellation shall constitute an
amendment to the articles of incorporation and shall reduce the number of shares of the class so canceled which the
corporation is authorized to issue by the number of shares so canceled.
3. The Statement must be accompanied by a filing fee of $10.00, and payment should be made payable to the Rhode
Island Secretary of State.
4. Upon the filing of the Statement of Cancellation of Reacquired Shares, the corporation must be in good standing and
current with the filing of its annual reports and the maintenance of its registered agent and its registered office in this
state.
5. As required by Section 7-1.2-601(e) of the General Laws, all fees and franchise taxes of the corporation must be paid
upon the filing of the Statement of Cancellation of Reacquired Shares.
6. The Statement of Cancellation of Reacquired Shares must be signed by an authorized officer of the corporation.
If you have any questions, please call us at (401) 222-3040, Monday through Friday, between 8:30 a.m. and 4:30
p.m.
Instructions/Form 104
Revised: 12/05

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