Professional Service Corporation List Of Shareholders Form - 2013

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CSCL/CD-314 (Rev. 02/13)
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 addresses of all share holders.
The corporation certifies that the corporation meets the requirements of the act and the names and post office addresses of all
share holders of the corporation are:
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
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
Name
Post Office Address
Name
Post Office Address
Name
Post Office Address
Name
Post Office Address

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